Myles Mittleman, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

127337 Issued in NY

Practice address

5847 Francis Lewis Blvd
Oakland Gardens, NY 11364-1601

Phone

(718) 225-5400

Fax

(718) 225-6527

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

Yes

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

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Networks

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

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841215746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5847 FRANCIS LEWIS BLVD",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113641601",
            "telephone_number": "718-225-5400",
            "fax_number": "718-225-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5847 FRANCIS LEWIS BLVD",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113641601",
            "telephone_number": "718-225-5400",
            "fax_number": "718-225-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTLEMAN",
        "first_name": "MYLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "127337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00479603",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stanley X Meng
• Victoria Mignone
• Sanja Mijatovic
• Susan Miller, M.S., CCC-SLP
• Karen Mittenzwei
• Lori H Model, RN
• Jessica Molina, M.S., LMHC
• Kelvin Montero
• Carline Montout
• Caroline Morales, M.S.

• Specialist in Oakland Gardens, NY
• Providers in Oakland Gardens, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.