DR. MARK G MANDATO D.P.M.
NPI 1215964010
Podiatrist - Foot & Ankle Surgery in Mount Vernon, NY

Active since June 27, 2006PECOS Enrolled
109 CHESTER ST, MOUNT VERNON, NY 10552(914) 668-4101 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark G Mandato D.p.m. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK G MANDATO D.P.M. (NPI 1215964010) is an individual foot & ankle surgery provider in Mount Vernon, New York, licensed in New York (N005153-1) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215964010
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. MARK G MANDATOCredential: D.P.M.
Location Address109 CHESTER STMount Vernon, NY 10552-3203
Mailing Address109 Chester StMount Vernon, NY 10552-3203 · (914) 668-4101
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1215964010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in NY · N005153-1
109 CHESTER ST, Mount Vernon, NY 10552

Other Identifiers 2

Medicare UPINU61037NY
Medicare ID-Type UnspecifiedP42501NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mark G Mandato D.p.m. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Mandato's NPI number?

The NPI number for Mark Mandato is 1215964010. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Mark Mandato located?

Mark Mandato practices at 109 Chester St, Mount Vernon, NY 10552. The listed phone number is (914) 668-4101.

What is Mark Mandato's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Mark Mandato enrolled in Medicare?

Yes. Mark Mandato is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Mandato was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.