Charles A Mandelberg (NPI# 1316919988, PAC ID# 3678609666) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1316919988 |
| PAC ID by PECOS | 3678609666 |
| Professional Enrollment ID | I20100330000009 |
| Full Name | Charles A Mandelberg |
| Organization Legal Name | PROSPECT CT MEDICAL FOUNDATION, INC. |
| Address |
28 Main St East Hartford CT 06118-3243 |
| Phone Number | 8605688364 |
| Gender | M |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7416244496 |
| Number of Group Practice Members | 261 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070027 | MANCHESTER MEMORIAL HOSPITAL |
| 070012 | ROCKVILLE GENERAL HOSPITAL |
| 070036 | JOHN DEMPSEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 28 Main St, East Hartford, CT 06118-3243 | 8605688364 | PROSPECT CT MEDICAL FOUNDATION, INC. |
| Organization Legal Name | PROSPECT CT MEDICAL FOUNDATION, INC. |
| Physicians | 222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eyone Jones | General Surgery | Prospect Ct Medical Foundation, Inc. | 18 Haynes St, Uppr Level, Manchester, CT 06040-4111 |
| Isaac Okyere Ampofo | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 629 Middle Tpke E, Manchester, CT 06040-3731 |
| Kelli A Harper | Family Medicine | Prospect Ct Medical Foundation, Inc. | 175 W Rd, Ellington, CT 06029-3730 |
| Marcy A Calsetta | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 520 Hartford Tpke, Suite M, Vernon, CT 06066-5044 |
| Michele P Barry | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 145 Union St, Vernon Rockville, CT 06066-3025 |
| Khadijat O Balogun | Gastroenterology | Prospect Ct Medical Foundation, Inc. | 353 Main St, Manchester, CT 06040-4145 |
| Juan Diego Holguin | General Surgery | Prospect Ct Medical Foundation, Inc. | 1625 Straits Tpke, Suite 200, Middlebury, CT 06762-1836 |
| Michael D Waddington | Neurology | Prospect Ct Medical Foundation, Inc. | 29 Haynes St, Suite D, Manchester, CT 06040-4139 |
| Wendy S Garvin | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 26 Shenipsh Lake Rd, Tolland, CT 06084-2332 |
| Remi Mathews | Family Medicine | Prospect Ct Medical Foundation, Inc. | 130 Hartford Rd, Manchester, CT 06040-5921 |
| Street Address |
28 MAIN ST |
| City | EAST HARTFORD |
| State | CT |
| Zip | 06118-3243 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa R Silberstein | Psychologist, Clinical | Barrios and Silberstein PC | 28 Main St, Essex, CT 06426-1100 |
| Michael V Barrios | Psychologist, Clinical | Barrios and Silberstein PC | 28 Main St, Essex, CT 06426-1100 |
| Elizabeth A Hale | Clinical Social Worker | 28 Main St, Essex, CT 06426-1100 | |
| Suzanne M Derry | Clinical Psychologist | 28 Main St, Essex, CT 06426-1100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Misbah M Vahidy | General Surgery | Medical Care Center of East Hartford LLC | 677 Silver Ln, East Hartford, CT 06118-1257 |
| Suzanne Viger | Nurse Practitioner | Medical Care Center of East Hartford LLC | 677 Silver Ln, East Hartford, CT 06118-1257 |
| Kaitlin S Schmidt | Nurse Practitioner | Intercommunity, Inc | 281 Main St, East Hartford, CT 06118-1823 |
| Mary K Salustri | Clinical Social Worker | Intercommunity, Inc | 281 Main St, East Hartford, CT 06118-1823 |
| Melissa Elek | Clinical Social Worker | Intercommunity, Inc | 281 Main St, East Hartford, CT 06118-1823 |
| Kathryn Mclarney | Clinical Social Worker | Intercommunity, Inc | 281 Main St, East Hartford, CT 06118-1823 |
| Christina Morrissey | Nurse Practitioner | Intercommunity, Inc | 281 Main St, East Hartford, CT 06118-1823 |
| Julia A Roberts | Nurse Practitioner | Intercommunity, Inc | 281 Main St, East Hartford, CT 06118-1883 |
| Erika M Cruz | Clinical Social Worker | Intercommunity, Inc | 281 Main St, East Hartford, CT 06118-1883 |
| Ryan T Macdonough | Clinical Social Worker | Intercommunity, Inc | 281 Main St, East Hartford, CT 06118-1883 |
| Find all physicians in zip 06118 | |||
| City | EAST HARTFORD |
| Zip Code | 06118 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | EAST HARTFORD + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.