Individual provider Active NPI

Barbara Ellen Mittler, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Pearl River, NY
National Provider Identifier
1699772145
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N3273 Issued in NY
Practice address
96 Townline Rd
Pearl River, NY 10965-1234
Phone
(845) 735-9222
Fax
(845) 735-9450
NPI assigned
Jun 30, 2005
Reactivated
Apr 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N3273 NY Primary

Addresses

Primary practice location

96 Townline Rd
Pearl River, NY 10965-1234

Mailing address

96 Townline Rd
Pearl River, NY 10965-1234
Phone (845) 735-9222

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
N3273NYMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1699772145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 TOWNLINE RD",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109651234",
            "telephone_number": "845-735-9222",
            "fax_number": "845-735-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 TOWNLINE RD",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109651234",
            "telephone_number": "845-735-9222",
            "fax_number": "845-735-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTLER",
        "first_name": "BARBARA",
        "middle_name": "ELLEN",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2012-12-27",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N3273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.