DAVID E MANDELBAUM MD, PHD
NPI 1669408696
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in New Haven, CT

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
1 PARK ST, NEW HAVEN, CT 06504(203) 785-4081(203) 737-7635 Get Directions Write a Review

NPPES record last updated: March 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2023, Sep 24, 2021, Nov 16, 2018 and 2 more (5 updates tracked since 2017).

About David E Mandelbaum Md, Phd NPPES

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

DAVID E MANDELBAUM MD, PHD (NPI 1669408696) is an individual neurology with special qualifications in child neurology provider in New Haven, Connecticut, licensed in Minnesota (70147) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (1980).

NPPES Registry Identity

NPI1669408696
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameDAVID E MANDELBAUMCredential: MD, PHD
Location Address1 PARK STNew Haven, CT 06504-8901
Mailing Address237 Irving AveProvidence, RI 02906-5518 · (401) 595-3467
Fax(203) 737-7635
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1980
Enumeration DateJune 23, 2006
Last NPPES UpdateMarch 11, 20235 updates tracked since enumeration
NPPES CertifiedMarch 11, 2023
NPI 1669408696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
Licenses Licensed in MN · 70147 Licensed in NY · 151239 Licensed in RI · MD11065 Licensed in CT · 64335
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPediatricsTaxonomy 208000000X · License 151239 (NY)
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License MD11065 (RI), 151239 (NY)
Also ListedPsychiatry & Neurology · Neurodevelopmental DisabilitiesTaxonomy 2084P0005X · License MD11065 (RI)
1 PARK ST, New Haven, CT 06504

Other Identifiers 1

Medicaid1669408696RI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

David E Mandelbaum Md, Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850300484
PECOS Enrollment IDI20181218003600
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pediatrics (Pediatric Cardiology)
1 PARK ST
NEW HAVEN, CT 06504
Pediatrics
1 PARK ST
NEW HAVEN, CT 06504
Audiologist
1 PARK ST
NEW HAVEN, CT 06504
Dentist (Pediatric Dentistry)
1 PARK ST
NEW HAVEN, CT 06504
Nurse Practitioner (Pediatrics)
1 PARK ST
NEW HAVEN, CT 06504
Pediatrics
1 PARK ST
NEW HAVEN, CT 06504
Pediatrics (Pediatric Gastroenterology)
1 PARK ST
NEW HAVEN, CT 06504
Pediatrics (Pediatric Nephrology)
1 PARK ST
NEW HAVEN, CT 06504

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 David Mandelbaum's NPI number?

The NPI number for David Mandelbaum is 1669408696. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is David Mandelbaum located?

David Mandelbaum practices at 1 Park St, New Haven, CT 06504. The listed phone number is (203) 785-4081.

What is David Mandelbaum's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is David Mandelbaum enrolled in Medicare?

Yes. David Mandelbaum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for David Mandelbaum was last updated on March 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.