Lillian Rose Mittl, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35919 Issued in NY

Practice address

160 E 32ND St
Suite 103
New York, NY 10016-6004

Phone

(212) 683-5736

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245453208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E 24TH ST",
            "address_2": "APT. 19G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104011",
            "telephone_number": "212-683-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E 32ND ST",
            "address_2": "SUITE 103",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166004",
            "telephone_number": "212-683-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTL",
        "first_name": "LILLIAN",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "35919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rohan Dev Mittal, MD
• Darryl Mitteldorf, LCSW
• Hannah Mittenberg, LCSW
• Kacie Mitterando
• Jonathan Mittiga
• Johnny Mittleman Serrano I
• Joel R Mittleman, D.C.
• Jackson Aaron Mittler
• Roberta R Mittman, LAC
• Alexander Mittnacht, M.D.

• 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 Jul 8, 2007; 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.