DR. EDGAR MANDEVILLE MD
NPI 1922105089
Obstetrics & Gynecology in New York, NY

Active since September 20, 2006PECOS Enrolled
506 MALCOLM X BLVD, WP-522, NEW YORK, NY 10037(212) 939-2740(212) 939-2759 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Edgar Mandeville Md NPPES

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

DR. EDGAR MANDEVILLE MD (NPI 1922105089) is an individual obstetrics & gynecology provider in New York, New York, licensed in New York (105872) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922105089
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. EDGAR MANDEVILLECredential: MD
Location Address506 MALCOLM X BLVD, WP-522New York, NY 10037-1802
Mailing Address506 Malcolm X Blvd, Wp-522New York, NY 10037-1802 · (212) 939-2740 · Fax (212) 939-2759
Fax(212) 939-2759
Sole ProprietorYes
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1922105089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 105872
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
506 MALCOLM X BLVD, New York, NY 10037

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edgar Mandeville Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Edgar Mandeville reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
506 MALCOLM X BLVD (LENOX AVE)
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 676 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10037 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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.

Anesthesiology
506 MALCOLM X BLVD
NEW YORK, NY 10037
Occupational Therapist
506 MALCOLM X BLVD
NEW YORK, NY 10037
Anesthesiology
506 MALCOLM X BLVD, WP 522
NEW YORK, NY 10037
General Acute Care Hospital
506 MALCOLM X BLVD, WOMEN PAVILION BLG., RM 364
NEW YORK, NY 10037
Pharmacist (Oncology)
506 MALCOLM X BLVD
NEW YORK, NY 10037
Obstetrics & Gynecology (Gynecology)
506 MALCOLM X BLVD, WP 522
NEW YORK, NY 10037
Psychiatry & Neurology (Psychiatry)
506 MALCOLM X BLVD, WP-522
NEW YORK, NY 10037
Surgery
506 MALCOLM X BLVD, WP-522
NEW YORK, NY 10037

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 Edgar Mandeville's NPI number?

The NPI number for Edgar Mandeville is 1922105089. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Edgar Mandeville located?

Edgar Mandeville practices at 506 Malcolm X Blvd Wp-522, New York, NY 10037. The listed phone number is (212) 939-2740.

What is Edgar Mandeville's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Edgar Mandeville enrolled in Medicare?

Yes. Edgar Mandeville is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edgar Mandeville's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edgar Mandeville reassigns Medicare benefits to Harlem Medical Associates PC (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edgar Mandeville's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edgar Mandeville 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.