Individual provider Active NPI

Herbert Mittman, DPM

  • Podiatrist
  • Bronx, NY
National Provider Identifier
1124005764
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2125 Issued in NY
Practice address
2550 Independence Ave
Apt 2B
Bronx, NY 10463-6225
Phone
(718) 884-3221
Fax
(718) 884-3226
NPI assigned
Dec 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2125 NY Primary

Addresses

Primary practice location

2550 Independence Ave
Apt 2B
Bronx, NY 10463-6225

Mailing address

2550 Independence Ave
Apt 2B
Bronx, NY 10463-6225
Phone (718) 884-3221

Other identifiers 1

IdentifierTypeStateIssuer
00405147MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2125NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1135468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124005764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 INDEPENDENCE AVE",
            "address_2": "APT 2B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104636225",
            "telephone_number": "718-884-3221",
            "fax_number": "718-884-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 INDEPENDENCE AVE",
            "address_2": "APT 2B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104636225",
            "telephone_number": "718-884-3221",
            "fax_number": "718-884-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTMAN",
        "first_name": "HERBERT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "2125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00405147",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.