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

Edward Mardakhaev, MD

Individual provider Diagnostic Radiology Physician · NPI 1396139820

Edward Mardakhaev, MD is a Diagnostic Radiology in Teaneck, New Jersey. Qualified in 2015, 11 years ago. Practices with Montefiore Medical Center, a 2,796-clinician group and works from 3 locations. Licensed in New Hampshire, New Jersey and Tennessee.

Years since qualifying
11
Licensed in
NH, NJ, TN
In the registry since
2015
Specialties on file
3
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

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone: (201) 833-7255
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1 Medical Center Dr, Lebanon, NH 03756-0001 — (602) 650-5000
  • 7211 Wellington Dr Ste 101, Knoxville, TN 37919-5968 — (865) 584-4747

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 25MA12491100 (NJ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 24506 (NH)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 76270 (TN)

Record details

NPI number1396139820
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2015
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026
Mailing address3 University Plz Ste 205, Hackensack, NJ 07601-6208

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Montefiore Medical Center — 2796 clinicians
Accepts Medicare assignment Not indicated
Practice locations9 on file with Medicare

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