David S Mitchell DO PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MB55269 Issued in NJ

Legal business name

DAVID S MITCHELL DO PA

Practice address

1255 Route 70 Ste 20N
Lakewood, NJ 08701-6192

Phone

(732) 905-8333

Fax

(732) 905-8709

NPI assigned

Mar 4, 2009

Last updated

Apr 21, 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. David Stuart Mitchell, D.O.NPI 1528179827

Title

President

Phone

(732) 905-8333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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.

• David S Mitchell, D.O.

  • Internal Medicine Physician
  • Toms River, NJ
  • NPI 1528179827
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1154561033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 ROUTE 70 STE 20N",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087016192",
            "telephone_number": "732-905-8333",
            "fax_number": "732-905-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 ROUTE 70 STE 20N",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087016192",
            "telephone_number": "732-905-8333",
            "fax_number": "732-905-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S MITCHELL DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-905-8333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB55269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Dassaro
• Bracha Daum, LCSW
• Etty Sara Daum, MS
• Sara Daum, SLP
• Frieda Davatgar
• Esther Davidowitz, BCBA
• Deborah Davidson
• Bernadette Davis
• Chanan Davis, LMFT
• Ettel Davis

• Internal Medicine Physician in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.