Organization Active NPI

Niranjan K Mittal, Physician, PLLC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
National Provider Identifier
1811939465
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
162509 Issued in NY
Legal business name
NIRANJAN K MITTAL, PHYSICIAN, PLLC
Practice address
7404 5TH Ave
Brooklyn, NY 11209-2704
Phone
(718) 439-5111
Fax
(866) 790-3506
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Niranjan Kumar Mittal, MD
Title
Owner
Phone
(718) 439-5111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 162509 NY Primary

Addresses

Primary practice location

7404 5TH Ave
Brooklyn, NY 11209-2704

Mailing address

7404 5TH Avenue
Brooklyn, NY 11209-2704
Phone (718) 439-5111

Other practice location 1

260 Ocean Pkwy Apt 1J
Brooklyn, NY 11218-4044
Phone (718) 484-7830

Other practice location 2

493 E 138th St
Bronx, NY 10454-4046
Phone (718) 993-2633

Other practice location 3

1718 Pitkin Ave
Brooklyn, NY 11212-6604
Phone (718) 485-9869

Other practice location 4

1381B Linden Blvd
Brooklyn, NY 11212-4701
Phone (718) 498-3103

Other practice location 5

2 Ethel Rd Ste 206E
Edison, NJ 08817-2839
Phone (732) 947-4201

Other identifiers 2

IdentifierTypeStateIssuer
1Z7734OtherNJNJ MEDICARE
02757904MedicaidNY

Other names 1

  • NEW YORK PET AND CTA IMAGING CENTER Other name

National Provider Directory

National Provider Directory

Locations

2 Ethel Rd
Ste 206E
Edison, NJ 08817
Phone (732) 947-4201

2 Ethel Rd
Ste 206C
Edison, NJ 08817
Phone (732) 873-1600

3152 Steinway St
Astoria, NY 11103
Phone (718) 560-3163

2747 3Rd Ave
Bronx, NY 10451

4509 5th Ave
Brooklyn, NY 11220
Phone (718) 928-5505

203 Court St
Brooklyn, NY 11201
Phone (718) 923-1122

7708 5th Ave
Brooklyn, NY 11209
Phone (718) 748-7544

3016 Glenwood Rd
Brooklyn, NY 11210
Phone (718) 434-3333

1725 E 12th St
Fl 4
Brooklyn, NY 11229
Phone (718) 492-4109

1391B Linden Blvd
Brooklyn, NY 11212

1311 Kings Hwy
Brooklyn, NY 11229

1700 Flatbush Ave
Brooklyn, NY 11210
Phone (718) 692-1120

7404 5th Ave
#1
Brooklyn, NY 11209

2985 Quentin Rd
Brooklyn, NY 11229
Phone (718) 336-2218

437 Myrtle Ave
Brooklyn, NY 11205

137 Hudson St
New York, NY 10013

649 Lexington Ave
New York, NY 10022

355 3rd Ave
New York, NY 10010

349 6th Ave
New York, NY 10014

4701 Queens Blvd
Ste 304
Sunnyside, NY 11104
Phone (718) 424-4344

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1811939465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7404 5TH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092704",
            "telephone_number": "718-439-5111",
            "fax_number": "866-790-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7404 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092704",
            "telephone_number": "718-439-5111",
            "fax_number": "866-790-3506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Ocean Pkwy Apt 1J",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112184044",
            "country_code": "US",
            "telephone_number": "718-484-7830",
            "fax_number": "646-585-9187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "493 E 138th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104544046",
            "country_code": "US",
            "telephone_number": "718-993-2633",
            "fax_number": "646-934-6403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1718 Pitkin Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112126604",
            "country_code": "US",
            "telephone_number": "718-485-9869",
            "fax_number": "347-789-5533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1381B Linden Blvd",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112124701",
            "country_code": "US",
            "telephone_number": "718-498-3103",
            "fax_number": "718-498-3166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Ethel Rd Ste 206E",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088172839",
            "country_code": "US",
            "telephone_number": "732-947-4201",
            "fax_number": "732-947-4230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NIRANJAN K MITTAL, PHYSICIAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "MITTAL",
        "authorized_official_first_name": "NIRANJAN",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-439-5111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "162509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ MEDICARE",
            "identifier": "1Z7734",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02757904",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW YORK PET AND CTA IMAGING CENTER",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "NEW YORK PET AND CTA IMAGING CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.