Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jasodaben C Mandalaywala, MD

Individual provider Internal Medicine Physician · NPI 1174574289

Dr. Jasodaben C Mandalaywala, MD is an Internal Medicine in Bronx, New York. Qualified in 1974, 52 years ago. Practices with Kingsbrook Medical Associates PC, a 5-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
52
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2015 Grand Concourse
Bronx, NY 10453-4303
Phone: (718) 299-7295
Fax: (718) 299-6797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 159425 (NY)

Record details

NPI number1174574289
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 13, 2006
Last updated in NPPESSeptember 26, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1974 (52 years in practice)
Group practice Kingsbrook Medical Associates Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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