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DR. CHARISSE LAURA MANDIMIKA M.D.
NPI 1881007268
Student in an Organized Health Care Education/Training Program in New Haven, CT

Active since June 03, 2014PECOS Enrolled
15 YORK ST, NEW HAVEN, CT 06510(203) 688-5303(203) 688-3216 Get Directions Write a Review

NPPES record last updated: June 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Charisse Laura Mandimika M.d. NPPES

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

DR. CHARISSE LAURA MANDIMIKA M.D. (NPI 1881007268) is an individual student in an organized health care education/training program in New Haven, Connecticut and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881007268
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. CHARISSE LAURA MANDIMIKACredential: M.D.
Location Address15 YORK STNew Haven, CT 06510-3221
Mailing Address1450 Chapel St # Private3New Haven, CT 06511-4405 · (203) 789-4044
Phone(203) 688-5303
Fax(203) 688-3216
Sole ProprietorYes
Enumeration DateJune 3, 2014
Last NPPES UpdateJune 6, 2015
✔ NPI 1881007268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
15 YORK ST, New Haven, CT 06510
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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. Charisse Laura Mandimika M.d. 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.

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.

KARAM AL JUMAILY
Student in an Organized Health Care Education/Training Program
15 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-4668
AARON VASSALL M.D.
Student in an Organized Health Care Education/Training Program
15 YORK ST, YNHH DEPT OF MEDICINE, LMP 1092
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-5555
MS. PEGGY SUEJIN MYUNG M.D., PH.D.
Dermatology (Dermatopathology)
15 YORK ST, LMP 5031
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (215) 668-7559
ROBERT E TIGELAAR MD
Dermatology
15 YORK ST, DERMATOLOGY, LCI ROOM 609
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-4632
REBECCA SLOTKIN M.D.
Internal Medicine
15 YORK ST, YNHH DEPT OF MEDICINE, LMP 1092
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-5555
MICHAEL GIRARDI MD
Dermatology
15 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-4632
GERALD H FRIEDLAND MD
Internal Medicine (Infectious Disease)
15 YORK ST, NATHAN SMITH BUILDING
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-5303
KACIE R CARLSON PA-C
Physician Assistant
15 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-4632

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 Charisse Mandimika's NPI number?

The NPI number for Charisse Mandimika is 1881007268. It was assigned to this individual provider in the NPPES registry on June 3, 2014.

Where is Charisse Mandimika located?

Charisse Mandimika practices at 15 York St, New Haven, CT 06510. The listed phone number is (203) 688-5303.

What is Charisse Mandimika's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Charisse Mandimika enrolled in Medicare?

Yes. Charisse Mandimika is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charisse Mandimika was last updated on June 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.