Individual provider Active NPI

David Joseph Mitola, DDS

  • General Practice Dentistry
  • Cohoes, NY
National Provider Identifier
1033196167
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
054551-1 Issued in NY
Practice address
50 Remsen St
Cohoes, NY 12047-2647
Phone
(518) 237-0700
NPI assigned
Dec 29, 2005
Last updated
May 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 054551-1 NY Primary

Addresses

Primary practice location

50 Remsen St
Cohoes, NY 12047-2647

Mailing address

50 Remsen St
Cohoes, NY 12047-2647
Phone (518) 237-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160404000222 NY Order and Referring Only - DentistPractitioner - Dentist 0547567711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
054551-1NYMDGeneral Practice Dentistry
054551NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
David Mitola, D.D.S., L.L.C. General Practice Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1033196167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 REMSEN ST",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120472647",
            "telephone_number": "518-237-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 REMSEN ST",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120472647",
            "telephone_number": "518-237-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITOLA",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "054551-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cohoes, NY

Sources for this page

Verify at the official NPI Registry.