Active NPI
David Evan Mittman, P.A.
- Medical Physician Assistant
- Livingston, NJ
National Provider Identifier
1396726196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 393-1
- Practice address
- 87 N Hillside Ave
Livingston, NJ 07039-1117 - Phone
- (973) 535-0931
- NPI assigned
- Nov 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 393-1 | NY | Primary |
Addresses
Primary practice location
87 N Hillside Ave
Livingston, NJ 07039-1117
Mailing address
87 N Hillside Ave
Livingston, NJ 07039-1117
Phone (973) 535-0931
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 393-1 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1396726196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 N HILLSIDE AVE",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070391117",
"telephone_number": "973-535-0931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 N HILLSIDE AVE",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070391117",
"telephone_number": "973-535-0931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITTMAN",
"first_name": "DAVID",
"middle_name": "EVAN",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "393-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.