Niranjan Kumar Mittal, MD,FACC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

162509 Issued in NY

Practice address

7404 5TH Ave
Brooklyn, NY 11209-2704

Phone

(718) 439-5111

Fax

(718) 493-6108

NPI assigned

Feb 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

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

• New York Pet Imaging Center LLC

  • Radiology Clinic/Center
  • Brooklyn, NY
  • NPI 1053564781
  NPD Authorized official

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1083680003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7404 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092704",
            "telephone_number": "718-439-5111",
            "fax_number": "718-493-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7404 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092704",
            "telephone_number": "718-439-5111",
            "fax_number": "718-493-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTAL",
        "first_name": "NIRANJAN",
        "middle_name": "KUMAR",
        "name_prefix": "Mr.",
        "credential": "MD,FACC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "162509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00911775",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Apostolos Mitsopoulos, RPH.
• Demetra Mitsotakis, MD
• Allegra Allie Mitta
• Sheila Mitta
• Harmesh K Mittal, MD
• Rajesh Mittal, MD
• Suresh C Mittal, DDS
• Chana Bracha Mittel
• Asher Mitteldorf, MBA, ATP
• Erica Mittelman-Szanzer, MS, RD, CDN, CDCES

• Cardiovascular Disease Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.