Charles a. Mitgang, M.D. P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

127551 Issued in NY

Legal business name

CHARLES A. MITGANG, M.D. P.C.

Practice address

371 Merrick Rd
Suite 302
Rockville Centre, NY 11570-5359

Phone

(516) 678-5555

Fax

(516) 678-9128

NPI assigned

Mar 28, 2007

Last updated

Dec 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Mitgang, M.D.NPI 1114923315

Title

President

Phone

(516) 678-5555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Allen Mitgang, M.D.

  • Internal Medicine Physician
  • Rockville Centre, NY
  • NPI 1114923315
  Medicare reassignment Care Compare group Authorized official
• Farid Shahkoohi, M.D.

  • Internal Medicine Physician
  • Rockville Centre, NY
  • NPI 1124024336
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1104945179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 MERRICK RD",
            "address_2": "SUITE 302",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705359",
            "telephone_number": "516-678-5555",
            "fax_number": "516-678-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 MERRICK RD",
            "address_2": "SUITE 302",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705359",
            "telephone_number": "516-678-5555",
            "fax_number": "516-678-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES A. MITGANG, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "MITGANG",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-678-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "127551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keri Chaloupka, NP
• Nadene Chambers-Simpson
• Hang Fong Kitty Chan, D.O.
• Vinoth Kailash Chandra Mohan
• Juhi Chang, NP
• Nicolette Ashley Chase
• Chasidy Vitale NP in Family Health PLLC
• Elana Esther Chasser, LCSW
• Hannah Margaret Chatfield, PA
• David Wen CHI Chen, D.M.D.

• Internal Medicine Physician in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.