DR. KENNETH D MANDL MD, MPH
NPI 1396852406
Pediatrics in Boston, MA

Q: What is Kenneth Mandl's NPI number?

The NPI number for Kenneth Mandl is 1396852406. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Q: What is Kenneth Mandl's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Mandl was last updated on August 16, 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.

Active since August 24, 2006

300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON, BOSTON, MA 02115(617) 355-6624(617) 730-0335 Get Directions Write a Review

NPPES record last updated: August 16, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kenneth D Mandl Md, Mph NPPES

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

DR. KENNETH D MANDL MD, MPH (NPI 1396852406) is an individual pediatrics provider in Boston, Massachusetts, licensed in Massachusetts (75410) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1396852406

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. KENNETH D MANDLCredential: MD, MPH

Location Address300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTONBoston, MA 02115-5735

Mailing Address300 Longwood Ave, Children's Hospital Boston-division Of Emergency MedBoston, MA 02115-5737 · (617) 355-6624

Phone(617) 355-6624

Fax(617) 730-0335

Sole ProprietorNo

Enumeration DateAugust 24, 2006

Last NPPES UpdateAugust 16, 2007

✔ NPI 1396852406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MA · 75410

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License 75410 (MA)

300 LONGWOOD AVE, Boston, MA 02115

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Other Identifiers 3

Medicare UPINF53833

Medicaid3107180MA

Medicare ID-Type UnspecifiedJ13554MA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE ANN HANSEN LCSW

Social Worker (Clinical)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (857) 218-4309

MS. ANNA ROGLIERI

Nurse Practitioner (Psychiatric/Mental Health)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-6000

STEPHEN G. FLYNN M.D.

Anesthesiology (Pediatric Anesthesiology)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-6000

MISS LAUREN ASHLEY MASTERSON P.T., D.P.T

Physical Therapist

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-7216

MS. SOYUN KWAN LICSW

Social Worker (Clinical)

300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115

Suffolk County (617) 355-0567

PUJA BANKA M.D.

Pediatrics

300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115

Suffolk County (617) 355-6363

MR. COURTNEY SULLIVAN FRATTO CPNP

Nurse Practitioner (Pediatrics)

300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115

Suffolk County (857) 218-4085

DR. ELIZABETH S TAGLAUER M.D., PH.D.

Pediatrics (Neonatal-Perinatal Medicine)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-6000

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 Kenneth Mandl's NPI number?

The NPI number for Kenneth Mandl is 1396852406. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Kenneth Mandl located?

Kenneth Mandl practices at 300 Longwood Ave Children's Hospital Boston, Boston, MA 02115. The listed phone number is (617) 355-6624.

What is Kenneth Mandl's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Kenneth Mandl was last updated on August 16, 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.