MANDELL CARDIAC CARE CENTER PA NPI 1003015660

Internal Medicine (Cardiovascular Disease) in Delray Beach, FL

NPI 1003015660 Organization Internal Medicine Cardiovascular Disease CLIA Number 10D1074381 CLIA Certificate of Waiver

About MANDELL CARDIAC CARE CENTER PA

Mandell Cardiac Care Center Pa is an internal medicine provider established in Delray Beach, Florida specializing in internal medicine (cardiovascular disease) . The NPI number of Mandell Cardiac Care Center Pa is 1003015660 and was assigned on July 2007. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Mandell Cardiac Care Center Pa operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Kenneth Brad Mandell M.d. (President And Secretary)

An internist like Mandell Cardiac Care Center Pa is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

The CLIA number of Mandell Cardiac Care Center Pa is 10D1074381 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Mandell Cardiac Care Center Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1003015660

Provider NameMANDELL CARDIAC CARE CENTER PA
Provider Location Address15300 JOG RD SUITE 202 DELRAY BEACH, FL 33446
Provider Mailing Address15300 JOG RD SUITE 202 DELRAY BEACH, FL 33446
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date07-13-2007
Last Update Date12-05-2008


Primary Taxonomy

Taxonomy Code207RC0000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationCardiovascular Disease
Taxonomy DescriptionAn internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Business Address

MANDELL CARDIAC CARE CENTER PA
15300 JOG RD
SUITE 202
DELRAY BEACH, FL
ZIP 33446
Phone: (561) 455-5601
Fax: (561) 455-5602

Get Directions


Mailing Address

MANDELL CARDIAC CARE CENTER PA
15300 JOG RD
SUITE 202
DELRAY BEACH, FL
ZIP 33446
Phone: (561) 455-5601
Fax: (561) 455-5602



Authorized Official

Authorized Official NameDR. KENNETH BRAD MANDELL M.D.
Authorized Official TitlePRESIDENT AND SECRETARY
Authorized Official Phone(561) 455-5601

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1003015660 is:

CLIA Number10D1074381
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


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
AH640MEDICARE PIN (08)FL

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316918329MS. JILL MARIE SHUTES ARNP
Individual
Nurse Practitioner (Gerontology)15300 JOG RD SUITE 205
DELRAY BEACH, FL 33446
(561) 496-7200
1083687610 ROBERT A COHEN DO
Individual
Family Medicine15300 JOG RD SUITE 205
DELRAY BEACH, FL 33446
(561) 496-7989
1851368625 DOUGLAS B COLMAN DO
Individual
Family Medicine (Adult Medicine)15300 JOG RD SUITE 205
DELRAY BEACH, FL 33446
(561) 496-7200
1346202090PREFERRED NURSING SERVICES, INC
Organization
Home Health15300 JOG RD SUITE 203
DELRAY BEACH, FL 33446
(561) 638-8385
1245257724DR. KENNETH BRAD MANDELL MD
Individual
Internal Medicine15300 JOG RD
DELRAY BEACH, FL 33446
(561) 455-5601
1821103979 MICHELE KOEPPEL LCSW
Individual
Social Worker (Clinical)15300 JOG RD SUITE 109
DELRAY BEACH, FL 33446
(561) 499-2700
1972696086DR. ALLEN JAMES TAURITZ D.P.M
Individual
Podiatrist15300 JOG RD SUITE 110
DELRAY BEACH, FL 33446
(561) 498-7200
1598893885SOUTH PALM ORTHOSPINE INSTITUTE
Organization
Orthopaedic Surgery15300 JOG RD SUITE 107-108
DELRAY BEACH, FL 33446
(561) 742-5959
1063606317 BONNIE MORTON BENEFIELD D.O.
Individual
Family Medicine15300 JOG RD SUITE 107-108
DELRAY BEACH, FL 33446
(561) 742-5959
1861679540ALLEN J TAURITZ DPM PA
Organization
Podiatrist15300 JOG RD SUITE 110
DELRAY BEACH, FL 33446
(561) 492-7200
1891956553LEE H GREENE MD PA
Organization
Family Medicine15300 JOG RD SUITE 205
DELRAY BEACH, FL 33446
(561) 498-0601
1336376938BOCA THERAPY INC
Organization
Physical Therapist15300 JOG RD SUITE B 8
DELRAY BEACH, FL 33446
(561) 495-7171
1396933198MARC J HIRSH MD PA
Organization
Internal Medicine (Rheumatology)15300 JOG RD SUITE 101
DELRAY BEACH, FL 33446
(561) 819-3100
1720165392DR. WILLIAM GERALD MOLESKY DC, FIAMA
Individual
Chiropractor15300 JOG RD SUITE 107,108
DELRAY BEACH, FL 33446
(561) 742-5959
1093148272DR. PAUL A. WEINER, PA
Organization
Podiatrist15300 JOG RD SUITE # 204
DELRAY BEACH, FL 33446
(561) 265-5424
1205260296LASER & COSMETIC DENTISTRY OF DELRAY, INC.
Organization
Dentist15300 JOG RD SUITE 210
DELRAY BEACH, FL 33446
(561) 499-6664
1790727253 STEWART G EIDELSON MD
Individual
Orthopaedic Surgery15300 JOG RD SUITE 107-108
DELRAY BEACH, FL 33446
(561) 742-5959
1679793830 KARI TANNENBAUM M.D.
Individual
Internal Medicine15300 JOG RD SUITE 205
DELRAY BEACH, FL 33446
(561) 496-7200
1821196536DR. PAUL ADAM WEINER DPM
Individual
Podiatrist15300 JOG RD SUITE # 204
DELRAY BEACH, FL 33446
(561) 265-5424
1053527879DR. LAWRENCE LOWELL RESSLER D.M.D.
Individual
Dentist (Periodontics)15300 JOG RD STE 201
DELRAY BEACH, FL 33446
(561) 499-7400

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.