Individual provider Active NPI

Hal Mitnick, MD

  • Rheumatology Physician
  • New York, NY
National Provider Identifier
1306819784
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
118418 Issued in NY
Practice address
551 Madison Ave FL 7
New York, NY 10022-3212
Phone
(212) 213-9447
Fax
(855) 654-7866
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 118418 NY Primary

Addresses

Primary practice location

551 Madison Ave FL 7
New York, NY 10022-3212

Mailing address

551 Madison Ave FL 7
New York, NY 10022-3212
Phone (212) 213-9447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20101129000311 NY Practitioner - Internal MedicinePractitioner - Rheumatology 3870789126 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Rheumatology
Education
New York University School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

551 Madison Ave
FL 7
New York, NY 10022-3212
Phone (212) 213-9447

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.43 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
81.42

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York Medical Associates, P.C. CurrentSince Nov 6, 2023 Accepting new patients

Locations

551 Madison Ave
Fl 7
New York, NY 10022
Phone (212) 249-2680

635 Madison Ave
Fl 3
New York, NY 10022
Phone (212) 439-6690

Organizations & group practices 1

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 7

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1306819784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 MADISON AVE FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223212",
            "telephone_number": "212-213-9447",
            "fax_number": "855-654-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 MADISON AVE FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223212",
            "telephone_number": "212-213-9447",
            "fax_number": "855-654-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITNICK",
        "first_name": "HAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "118418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.