HOLLIE MANDIBERG PA
NPI 1558572909
Physician Assistant in New York, NY
About Hollie Mandiberg Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLIE MANDIBERG PA (NPI 1558572909) is an individual physician assistant in New York, New York, licensed in New York (008015-1) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bay Shore.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hollie Mandiberg Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
NEW YORK, NY 10011
NEW YORK, NY 10011
NEW YORK, NY 10011
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 Hollie Mandiberg's NPI number?
The NPI number for Hollie Mandiberg is 1558572909. It was assigned to this individual provider in the NPPES registry on May 25, 2007.
Where is Hollie Mandiberg located?
Hollie Mandiberg practices at 153 W 11th St St. Vincent's Hospital, New York, NY 10011. The listed phone number is (212) 604-7000.
What is Hollie Mandiberg's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Hollie Mandiberg enrolled in Medicare?
Yes. Hollie Mandiberg is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Hollie Mandiberg was last updated on December 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Hollie Mandiberg, PA · NPI 1558572909
Physician Assistant physician in New York, New York. Individual provider, active in the CMS NPPES registry since May 25, 2007.
## Identity
- **NPI:** 1558572909 (Entity type: Individual)
- **Enumerated:** May 25, 2007
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 008015-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 153 W 11TH ST, ST. VINCENT'S HOSPITAL, New York, NY 10011-8305
- **Phone:** (212) 604-7000 · **Fax:** (973) 740-1350
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 5, 2019
- **Other identifiers:** Other 008015-1 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1558572909) · Data from the CMS NPPES public registry.