Organization Active NPI

Satish K. Mittal

  • Pulmonary Disease Physician
  • Vineland, NJ
National Provider Identifier
1851319248
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25MA03870400 Issued in NJ
Legal business name
SATISH K. MITTAL
Practice address
2950 College Dr Ste 1C
Suite # 1-C
Vineland, NJ 08360-6933
Phone
(856) 691-4800
Fax
(856) 691-4801
NPI assigned
Jul 17, 2006
Last updated
Feb 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
Dr. Satish K Mittal, M.D.NPI 1518912385
Title
Physician
Phone
(856) 691-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 25MA03870400 NJ Primary

Addresses

Primary practice location

2950 College Dr Ste 1C
Suite # 1-C
Vineland, NJ 08360-6933

Mailing address

112 Running Deer TRL
Pittsgrove, NJ 08318-4186
Phone (856) 691-4800

Other identifiers 1

IdentifierTypeStateIssuer
3192601MedicaidNJ

National Provider Directory

National Provider Directory

Locations

2950 College Dr
Ofc
Vineland, NJ 08360
Phone (856) 690-5554

2950 College Dr
Ste 1C
Vineland, NJ 08360
Phone (856) 690-5554

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1851319248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 RUNNING DEER TRL",
            "city": "PITTSGROVE",
            "state": "NJ",
            "postal_code": "083184186",
            "telephone_number": "856-691-4800",
            "fax_number": "856-691-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 COLLEGE DR STE 1C",
            "address_2": "SUITE # 1-C",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606933",
            "telephone_number": "856-691-4800",
            "fax_number": "856-691-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATISH K. MITTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "MITTAL",
        "authorized_official_first_name": "SATISH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "856-691-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA03870400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3192601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.