EDWARD MARDAKHAEV MD NPI 1396139820

NPI Information

  • NPI: 1396139820
  • Provider Name: EDWARD MARDAKHAEV, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 718 TEANECK RD
    TEANECK, NJ
    ZIP 07666
  • Phone: (201) 833-7255

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NPI Details

Edward Mardakhaev, MD is a diagnostic radiology radiology in Teaneck, NJ with 11 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Edward Mardakhaev, MD NPI is 1396139820. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduation Year:2015

The provider's business location address is:

718 TEANECK RD
TEANECK, NJ
ZIP 07666-245
Phone: (201) 833-7255

The NPI 1396139820 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, gadoterate meglumine, 0.1 ml (HCPCS:A9575)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Mri scan of leg without contrast (HCPCS:73718)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ct scan of leg without contrast (HCPCS:73700)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Ct scan of leg without contrast (HCPCS:73700)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan of arm without contrast (HCPCS:73200)
  • Mri scan of pelvis without contrast (HCPCS:72195)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Mri scan of leg without contrast (HCPCS:73718)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Mri scan of arm without contrast (HCPCS:73218)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Ct scan of arm without contrast (HCPCS:73200)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of both hips, 3-4 views (HCPCS:73522)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of both hips, 2 views (HCPCS:73521)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Mri scan of leg before and after contrast (HCPCS:73720)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Mri scan of arm joint without contrast (HCPCS:73221)

The enumeration date for this NPI number is 3/23/2015 and was last updated on 5/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology25MA12491100NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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