Mark A Mittler, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

213060 Issued in NY

Practice address

410 Lakeville Rd
Suite 204
New Hyde Park, NY 11042-1101

Phone

(516) 354-3401

Fax

(516) 354-8597

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Neurosurgery

Education

University of Rochester School of Medicine and Dentistry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Long Island Neurosurgical Associates PCGroup PAC ID 0840470118, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (4 of 7)

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: mmittler67112@northwell.direct-ci.com
• Direct secure messaging: markmittler@linapc.allscriptsdirect.net

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.

• Long Island Neurosurgical Associates PC

  • Neurological Surgery Physician
  • New Hyde Park, NY
  • NPI 1992986251
  Medicare reassignment Care Compare group NPD
• Long Island Jewish Medical Center

  • Children's Hospital
  • New Hyde Park, NY
  • NPI 1174530349
  NPD (past)
• Long Island Jewish Medical Center

  • General Acute Care Hospital
  • New Hyde Park, NY
  • NPI 1285641514
  NPD (past)
• Winthrop Neuro-Science Medical PC

  • Neurology Physician
  • Mineola, NY
  • NPI 1104187418
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720045487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 LAKEVILLE RD",
            "address_2": "SUITE 204",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421101",
            "telephone_number": "516-354-3401",
            "fax_number": "516-354-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 LAKEVILLE RD",
            "address_2": "SUITE 204",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421101",
            "telephone_number": "516-354-3401",
            "fax_number": "516-354-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTLER",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "213060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02055338",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fernanda Mitchell, MD
• Madeline Sue Mitchell, DO
• Meraiah Mitchell
• Theoderick Mitra, P.T.
• Sumit Mittle, M.D.
• Ron Mitzner, M.D.
• Ella Miyerov
• Esther Mizrachi
• Pauline Mizrachi, M.D.
• Jennifer Mizrahi, DO

• Neurological Surgery Physician in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Neurological Surgery Physician in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.