Organization Active NPI

Paul D. Gittelman,M.D. F.a.C.S. P.L.L.C.

  • Facial Plastic Surgery Physician
  • Mamaroneck, NY
National Provider Identifier
1447485529
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
158598 Issued in NY
Legal business name
PAUL D. GITTELMAN,M.D. F.A.C.S. P.L.L.C.
Doing business as
Paul D. Gittelman,M.D. F.A.C.S. P.L.L.C.
Practice address
1600 Harrison Ave Ste G-104
Mamaroneck, NY 10543
Phone
(914) 381-7222
Fax
(914) 381-2275
NPI assigned
May 19, 2009
Last updated
May 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Authorized official

Name
Dr. Paul D Gittelman, M.D.
Title
M.D.
Phone
(914) 381-7222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X 158598 NY Primary

Addresses

Primary practice location

1600 Harrison Ave Ste G-104
Mamaroneck, NY 10543

Mailing address

1600 Harrison Ave Ste G-104
Mamaroneck, NY 10543
Phone (914) 381-7222

Other names 1

  • Paul D. Gittelman,M.D. F.A.C.S. P.L.L.C. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1447485529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HARRISON AVE STE G-104",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "10543",
            "telephone_number": "914-381-7222",
            "fax_number": "914-381-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HARRISON AVE STE G-104",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "10543",
            "telephone_number": "914-381-7222",
            "fax_number": "914-381-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL D. GITTELMAN,M.D. F.A.C.S. P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "GITTELMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "914-381-7222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NY",
            "license": "158598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paul D. Gittelman,M.D. F.A.C.S. P.L.L.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mamaroneck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.