Organization Active NPI

Joel R Mittleman DC, PLLC

  • Chiropractor
  • New York, NY
National Provider Identifier
1215085089
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009178 Issued in NY
Legal business name
JOEL R MITTLEMAN DC, PLLC
Practice address
19 E 37TH St
New York, NY 10016-3005
Phone
(212) 684-1882
Fax
(212) 684-1886
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Dr. Joel Mittleman, D.C.NPI 1376565812
Title
Owner
Phone
(212) 684-1882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X009178 NY Primary

Addresses

Primary practice location

19 E 37TH St
New York, NY 10016-3005

Mailing address

19 E 37TH St
New York, NY 10016-3005
Phone (212) 684-1882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070109000612 NY Part B Supplier - Clinic/Group Practice 0941200364 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1215085089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E 37TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163005",
            "telephone_number": "212-684-1882",
            "fax_number": "212-684-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E 37TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163005",
            "telephone_number": "212-684-1882",
            "fax_number": "212-684-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL R MITTLEMAN DC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "MITTLEMAN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-684-1882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.