Active NPI
Mithlesh Mathur, MD
- Internal Medicine Physician
- Ny, NY
National Provider Identifier
1225262918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 145-999-1
- Practice address
- 1 Lefrak City Plaza
15TH Floor, Room #1
N.Y, NY 11368 - Phone
- (718) 595-2500
- Fax
- (718) 595-2564
- NPI assigned
- May 8, 2009
- Last updated
- May 8, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 145-999-1 | NY | |
| Internal Medicine Physician | 207R00000X | 145-999-1 | NY | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 145-999-1 | NY |
Addresses
Primary practice location
1 Lefrak City Plaza
15TH Floor, Room #1
N.Y, NY 11368
Mailing address
1 Lefrak City Plaza
15TH Floor, Room #1 Department of Correction, Health Ma
N.Y, NY 11368
Phone (718) 595-2500
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 145-999-1 | NY | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241740800000",
"number": "1225262918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LEFRAK CITY PLAZA",
"address_2": "15TH FLOOR, ROOM #1 DEPARTMENT OF CORRECTION, HEALTH MA",
"city": "N.Y",
"state": "NY",
"postal_code": "11368",
"telephone_number": "718-595-2500",
"fax_number": "718-595-2564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LEFRAK CITY PLAZA",
"address_2": "15TH FLOOR, ROOM #1",
"city": "N.Y",
"state": "NY",
"postal_code": "11368",
"telephone_number": "718-595-2500",
"fax_number": "718-595-2564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHUR",
"first_name": "MITHLESH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-08",
"last_updated": "2009-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "145-999-1",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "145-999-1",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "145-999-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ny, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.