Alyssa-Rae Mita, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

063368 Issued in NY

Practice address

22 E 21St St FL 2F
New York, NY 10010-7251

Phone

(212) 260-6106

NPI assigned

Mar 3, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sherwin Benlevi DDS PC

  • Dentist
  • New York, NY
  • NPI 1861845265
  NPD (past)

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714262400000",
    "number": "1174270722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 10TH AVE APT 37B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100180910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 E 21ST ST FL 2F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107251",
            "telephone_number": "212-260-6106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 W 57th St Ste 1402",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100192803",
            "country_code": "US",
            "telephone_number": "212-904-0277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITA",
        "first_name": "ALYSSA-RAE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2024-04-28",
        "certification_date": "2024-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "063368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianna Misuraca, LCSW
• Aleksandr Misyuk, OPTICIAN
• Maksym Misyura
• Taddee Miszkiel, LCSW-R
• Lauren Brielle Miszkiewicz, PA-C
• Renu Chawla Mital, MD
• Seema Mital, MD
• Miki Mitarai
• Katie Mitaszka, PA-C
• Anne Elizabeth Mitch, CNS,LP

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2024; 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.