Active NPI
Paul D Gittelman MD PLLC
- Otolaryngology Physician
- Mamaroneck, NY
National Provider Identifier
1023457579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 158598
- Legal business name
- PAUL D GITTELMAN MD PLLC
- Practice address
- 1600 Harrison Ave
Suite G104
Mamaroneck, NY 10543-3145 - Phone
- (914) 381-7222
- Fax
- (914) 381-2275
- NPI assigned
- Jun 18, 2013
- Last updated
- Jun 18, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul D Gittelman, M.D.
- Title
- Owner
- Phone
- (914) 381-7222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 158598 | NY | Primary |
Addresses
Primary practice location
1600 Harrison Ave
Suite G104
Mamaroneck, NY 10543-3145
Mailing address
1600 Harrison Ave
Suite G104
Mamaroneck, NY 10543-3145
Phone (914) 381-7222
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371513600000",
"number": "1023457579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 HARRISON AVE",
"address_2": "SUITE G104",
"city": "MAMARONECK",
"state": "NY",
"postal_code": "105433145",
"telephone_number": "914-381-7222",
"fax_number": "914-381-2275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 HARRISON AVE",
"address_2": "SUITE G104",
"city": "MAMARONECK",
"state": "NY",
"postal_code": "105433145",
"telephone_number": "914-381-7222",
"fax_number": "914-381-2275"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL D GITTELMAN MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-18",
"last_updated": "2013-06-18",
"status": "A",
"authorized_official_last_name": "GITTELMAN",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "914-381-7222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "NY",
"license": "158598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mamaroneck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.