Individual provider Active NPI

Eric Mittelmann, MD

  • Neurology Physician
  • Paramus, NJ
National Provider Identifier
1215291240
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA09935300 Issued in NJ
Practice address
650 From Rd Ste 506
Paramus, NJ 07652-3517
Phone
(551) 996-8100
Fax
(551) 996-4140
NPI assigned
Jun 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 25MA09935300 NJ Primary

Addresses

Primary practice location

650 From Rd Ste 506
Paramus, NJ 07652-3517

Mailing address

260 Old Hook Rd
Suite 200
Westwood, NJ 07675-3123
Phone (201) 967-8425

Other practice location 1

260 Old Hook Rd
Suite 200
Westwood, NJ 07675-3123
Phone (201) 546-8510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170420000442 NJ Practitioner - NeurologyPractitioner - Psychiatry 1254617665 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Psychiatry
Education
Rutgers New Jersey Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Epilepsy Center PCGroup PAC ID 6204184922, 5 clinicians

Practice addresses (Care Compare)

30 Prospect Ave
Hackensack, NJ 07601-1915

6 Forest Ave
Suite 150
Paramus, NJ 07652-5245
Phone (201) 546-8510

650 From Rd
Paramus, NJ 07652-3517

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09935300NJMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Neurology, PC Neurology CurrentSince Mar 1, 2017 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Apr 1, 2025 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Apr 1, 2025 Accepting new patients
Hackensack Epilepsy Center PC Neurology CurrentSince Sep 18, 2018 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC PastSince Oct 23, 2022 Accepting new patients
Center for Neurocognitive Therapy, LLC Neurology PastSince Feb 12, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

381 Park St
Ste 200
Hackensack, NJ 07601
Phone (201) 546-8510

6 Forest Ave
Ste 150
Paramus, NJ 07652
Phone (201) 546-8510

650 From Rd
Ste 506
Paramus, NJ 07652
Phone (551) 996-1342

260 Old Hook Rd
#200
Westwood, NJ 07675
Phone (201) 546-8509

Interoperability endpoints

  • Direct secure messaging: eric.mittelmann.1@33177.direct.athenahealth.com
  • Direct secure messaging: emittelmann190003@ahs.direct-ci.com
  • Direct secure messaging: clinical@pnpc.directbygreenway.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1215291240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 OLD HOOK RD",
            "address_2": "SUITE 200",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753123",
            "telephone_number": "201-967-8425",
            "fax_number": "201-263-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 FROM RD STE 506",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523517",
            "telephone_number": "551-996-8100",
            "fax_number": "551-996-4140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Old Hook Rd",
            "address_2": "SUITE 200",
            "address_purpose": "LOCATION",
            "city": "Westwood",
            "state": "NJ",
            "postal_code": "076753123",
            "country_code": "US",
            "telephone_number": "201-546-8510",
            "fax_number": "201-503-8142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITTELMANN",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-25",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA09935300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.