Individual provider Active NPI

Naomi Golda Blatt-Mittelman, D.P.M

  • Podiatrist
  • Highland Park, NJ
National Provider Identifier
1245491364
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00305900 Issued in NJ
Practice address
103 N 8TH Ave
Highland Park, NJ 08904-2921
Phone
(917) 744-4721
NPI assigned
Jun 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00305900 NJ Primary

Addresses

Primary practice location

103 N 8TH Ave
Highland Park, NJ 08904-2921

Mailing address

14905 79TH Ave
Apt 336
Flushing, NY 11367-3855
Phone (917) 744-4721

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1245491364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14905 79TH AVE",
            "address_2": "APT 336",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673855",
            "telephone_number": "917-744-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N 8TH AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042921",
            "telephone_number": "917-744-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATT-MITTELMAN",
        "first_name": "NAOMI",
        "middle_name": "GOLDA",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00305900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.