Debra Mandelbaum, D.D.S

Dentist · Passaic, NJ

Individual Active NPI

NPI number 1629456868

Practice location

625 Main Ave
Passaic, NJ 07055-4952
Phone
(973) 574-1000

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NPI record

NPI
1629456868
Entity type
Individual (Type 1)
Enumeration date
May 7, 2015
Last updated
March 17, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 0593451 NY

Mailing address

1921 50TH St
Brooklyn, NY 11204-1313
Phone
(516) 236-4657

Other practice locations (2)

  • 234 E 149th St, Bronx, NY 10451-5504 · (516) 236-4657
  • 234 E 149th St, Bronx, NY 10451-5504 · (516) 236-4657

About Dr. Mandelbaum

Debra Mandelbaum, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 625 Main Ave, Passaic, NJ 07055-4952. The NPI number 1629456868 was assigned on May 7, 2015 and the record was last updated on March 17, 2018.

Dr. Mandelbaum lists a license in the registry: #0593451 (NY) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Debra Mandelbaum, D.D.S?

The NPI number is 1629456868.

What is the phone number of Dr. Mandelbaum?

The phone number listed for the practice location is (973) 574-1000.

Where is Dr. Mandelbaum located?

625 Main Ave, Passaic, NJ 07055-4952.

What is the taxonomy code for Dr. Mandelbaum?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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