Family Medicine in SHIRLEY, NY
Last Updated on : Jun 02,2015
KUMAR S MANDAL is a Family Medicine provider in SHIRLEY, United States. His medical specialization is Family Medicine with a focus in Adult Medicine.
1689676884 is NPI number of KUMAR S MANDAL.
KUMAR S MANDAL's primary taxonomy code based on NPI Lookup is 207QA0505X with license number 182787. This taxonomy code refers to Family Medicine.
KUMAR S MANDAL has more than 17 years of experience.
KUMAR S MANDAL current practice location address is 2 CORACI BLVD, SHIRLEY, NY. KUMAR S MANDAL can be reached out via phone at 631-281-2600 and via fax at 631-281-6732 .
You can also correspond with KUMAR S MANDAL through mail at mailing address 2 CORACI BLVD, SHIRLEY, NY, United States. Mailing address contact number is 631-281-2600.
The enumeration date of KUMAR S MANDAL is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 8 years ago.Basic NPI information of KUMAR S MANDAL (NPI 1689676884) is provided below.
Name | KUMAR S MANDAL |
---|---|
National Provider Id (NPI) | 1689676884 |
Entity Type | Individual |
Gender | M |
Credential | M.D. |
Practice Address | 2 CORACI BLVD,
STE 10
SHIRLEY, NY, United States |
Practice Telephone | 631-281-2600 |
Practice Fax Number | 631-281-6732 |
Mailing Address | 2 CORACI BLVD ,
STE 10
SHIRLEY, NY, United States |
Mailing Telephone | 631-281-2600 |
Mailing Fax Number | 631-281-6732 |
Enumeration Date | 01-Jun-2005 |
Last Updated Date | 02-Jun-2015 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Medicine, Adult Medicine | 182787 | NY |
Definition to come.
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type/Code | Identifier State | Identifier Issuer |
---|---|---|---|
01519864 | MEDICAID (05) | NY | |
0234J1 | MEDICARE ID-Type Unspecified (04) | NY | |
F61762 | MEDICARE UPIN (02) | NY |
Here are a few of the other providers in the same location.
NPI | Name | Taxonomy | Address | Enumeration date |
---|---|---|---|---|
1730393810 | SHEILA G GARDNER | Speech-Language Pathologist, | 8239 HIGHWAY 16 E,
SHIRLEY, AR, United States |
09-May-2007 |
1588778641 | MARK A, DAVIS | Dentist, Dental Public Health | 15775 HIGHWAY 16 E,
SHIRLEY, AR, United States |
18-Aug-2006 |
1497903736 | B. F. RHOADS | Registered Nurse | PO BOX 508,
SHIRLEY, AR, United States |
28-Aug-2008 |
1295084333 | LEEANNA FRANKS | Occupational Therapy Assistant | 189 N MAIN ST,
SHIRLEY, AR, United States |
05-Sep-2012 |
1972079267 | GRANT HARPER | Physical Therapist | 2386 OVERTON RD,
SHIRLEY, AR, United States |
15-Oct-2018 |
1841352291 | SHIRLEY SCHOOL DISTRICT | Local Education Agency (LEA) | 154 SCHOOL DR,
SHIRLEY, AR, United States |
14-Dec-2006 |
1003268608 | LAKESIDE DENTAL LLC | Dentist, General Practice | 15775 HIGHWAY 16 E,
SHIRLEY, AR, United States |
07-Jul-2016 |
1659743839 | CHELSEA PENCARINHA | Specialist/Technologist, Speech-Language Assistant | 199 SCHOOL DR,
SHIRLEY, AR, United States |
27-Oct-2015 |
1902308620 | COURTNEY TREAT | Physician Assistant, Medical | 440 S MARKET AVE,
SPRINGFIELD, MO, United States |
08-Mar-2018 |
1780315549 | REBECCA BURGESS | Technician, Attendant Care Provider | 4471 BANNER MOUNTAIN RD,
SHIRLEY, AR, United States |
22-Jun-2022 |
1598419285 | ELIZABETH FULTZ | Counselor, Professional | 10721 OHIO ST,
SHIRLEY, IL, United States |
10-Feb-2022 |
1952586257 | TAMMI SUE HAMBY | Homemaker | 8330 W COUNTY ROAD 450 S,
SHIRLEY, IN, United States |
04-Jan-2008 |
1902974413 | TOWN OF SHIRLEY | Ambulance, Land Transport | PO BOX 57,
212 MAIN ST. SHIRLEY, IN, United States |
01-Dec-2006 |
1871831206 | SHIRLEY VOLUNTEER FIRE DEPARTMENT INC | Ambulance | 212 MAIN STREET,
SHIRLEY, IN, United States |
18-Jan-2013 |
1780741207 | TOWN OF SHIRLEY | Ambulance | 7 KEADY WAY,
SHIRLEY, MA, United States |
03-Jan-2007 |
1952847170 | FAMILY TREE HOME CARE, INC | In Home Supportive Care | 13 VILLAGE DR,
SHIRLEY, MA, United States |
11-Jan-2017 |
1568709459 | SARA DOW | Counselor | 133 GROTON RD,
SHIRLEY, MA, United States |
11-Jan-2013 |
1851362248 | CYNTHIA MILNER WOODMAN | Dietitian, Registered | 16 MORSE CIR,
SHIRLEY, MA, United States |
01-Feb-2006 |
1538337597 | LINDA R BOOTH | Nurse Practitioner, Gerontology | PO BOX 1218,
SHIRLEY, MA, United States |
13-Feb-2008 |
1043775562 | DESIRE HUCKFELDT KANGSEN | Nurse Practitioner, Family | 1 HARVARD RD,
SHIRLEY, MA, United States |
08-Feb-2019 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1689676884 is the NPI number of KUMAR S MANDAL.
What is the specialty for KUMAR S MANDAL?The Specialty of KUMAR S MANDAL is Family Medicine.
Field Name | Field Value |
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NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
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Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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