DR. MARK A MITTLER (NPI# 1720045487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720045487 |
| Entity Type | Individual |
| Full Name | DR. MARK A MITTLER |
| Credential | M.D. |
| Practice Address |
410 Lakeville Rd Suite 204 New Hyde Park NY 11042-1101 |
| Practice Telephone | 5163543401 |
| Practice Fax Number | 5163548597 |
| Mailing Telephone | 5163543401 |
| Mailing Fax Number | 5163548597 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 213060 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02055338 | 05 |
| Street Address |
410 LAKEVILLE RD SUITE 204 |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11042-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043825201 | Shoaba Jaikissoon | Nurse Practitioner | 410 Lakeville Rd, New Hyde Park, NY 11042-1101 | 2020-09-14 |
| 1306484472 | Lauren Procaccino | Physician Assistant | 410 Lakeville Rd, New Hyde Park, NY 11042-1101 | 2019-12-19 |
| 1881231165 | Angelica Corrigan | Social Worker | 410 Lakeville Rd, New Hyde Park, NY 11042-1101 | 2019-12-05 |
| 1861991259 | Advanced Cardiovascular Diagnostics Pllc | Internal Medicine | 410 Lakeville Rd, New Hyde Park, NY 11042-1101 | 2018-02-12 |
| 1043725823 | Rachel Lowy | Physician Assistant | 410 Lakeville Rd, New Hyde Park, NY 11042-1101 | 2017-12-03 |
| 1659730638 | Kathleen Ann O'connor | Nurse Practitioner | 410 Lakeville Rd, New Hyde Park, NY 11042-1101 | 2016-02-18 |
| 1356719082 | Ari Leonard Ginsberg Md Pllc | Specialist | 410 Lakeville Rd, 100, New Hyde Park, NY 11042-1101 | 2015-09-11 |
| 1720462534 | Katherine Hogan | Nurse Practitioner | 410 Lakeville Rd, New Hyde Park, NY 11042-1101 | 2015-07-13 |
| 1669854832 | True North Health Pharmacy, Inc. | Pharmacy | 410 Lakeville Rd, Suite 102, New Hyde Park, NY 11042-1101 | 2015-06-24 |
| 1306284930 | Restorative Medicine, P.C. | Physical Medicine & Rehabilitation | 410 Lakeville Rd, Suite 303, New Hyde Park, NY 11042-1101 | 2013-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992986251 | Long Island Neurosurgical Associates PC | Neurological Surgery | 410 Lakeville Rd, Suite 204, New Hyde Park, NY 11042-1101 | 2007-11-15 |
| 1003012568 | Shaun David Rodgers | Neurological Surgery | 410 Lakeville Rd, Suite 204, New Hyde Park, NY 11042-1101 | 2007-06-22 |
| 1154492148 | Paolo A Bolognese | Neurological Surgery | 1991 Marcus Ave, Suite 108, New Hyde Park, NY 11042-2057 | 2006-11-13 |
| 1073570313 | Michael A Lefkowitz | Neurological Surgery | 410 Lakeville Rd, Suite 204, New Hyde Park, NY 11042-1101 | 2006-04-28 |
| 1568429074 | Donald S Krieff | Neurological Surgery | 410 Lakeville Rd, Suite 204, New Hyde Park, NY 11042-1101 | 2006-04-27 |
| 1083682769 | Steven Jack Schneider | Neurological Surgery | 410 Lakeville Rd, Suite 204, New Hyde Park, NY 11042-1101 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143933 | Antonio Bernardo | Neurological Surgery | 1330 1st Ave Apt 709, New York, NY 10021-4783 | 2020-10-31 |
| 1477177301 | Muhammad Waqas | Neurological Surgery | 100 High St Ste B4-27, Buffalo, NY 14203-1126 | 2020-06-06 |
| 1053949248 | All Island Medical Services. P.C. | Neurological Surgery | 1717 Veterans Memorial Highway, Suite 2, Islandia, NY 11749 | 2020-04-01 |
| 1083259675 | Kimon Bekelis Physician P C | Neurological Surgery | 60 George St, Babylon, NY 11702-2806 | 2019-11-07 |
| 1740844141 | Neurosurgery of Western Ny Pllc | Neurological Surgery | 1200 Jefferson Rd Ste 310, Rochester, NY 14623-3158 | 2019-05-01 |
| 1457814824 | Brain & Spine Surgery, P.C. | Neurological Surgery | 2500 Nesconset Hwy., Bldg 18c, Stony Brook, NY 11790 | 2019-04-11 |
| 1902372980 | Jenkins Neurospine LLC | Neurological Surgery | 65 E 96th St Apt 1b, New York, NY 10128-0776 | 2018-10-17 |
| 1619454568 | Arthur Jenkins Md LLC | Neurological Surgery | 65 Eat 96th Street, Suite 1b, New York, NY 10128 | 2018-07-24 |
| 1710480496 | Level One Neurology, LLC | Neurological Surgery | 19 Baker Ave Ste 301, Poughkeepsie, NY 12601-1385 | 2018-03-09 |
| 1679091227 | J Pain & Spine Care | Neurological Surgery | 217 Old Ithaca Rd, Horseheads, NY 14845 | 2017-09-05 |
| Find all providers with the same taxonomy | ||||
| City | NEW HYDE PARK |
| Zip Code | 11042 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.