Individual provider Active NPI

Neal Mittman, MD

  • Nephrology Physician
  • Brooklyn, NY
National Provider Identifier
1972521656
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
136867 Issued in NY
Practice address
577 Prospect Ave
Suite 1B
Brooklyn, NY 11215-6065
Phone
(718) 369-0318
Fax
(718) 369-0290
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 136867 NY Primary

Addresses

Primary practice location

577 Prospect Ave
Suite 1B
Brooklyn, NY 11215-6065

Mailing address

PO Box 450
New York, NY 10116-0450
Phone (718) 369-0318

Other identifiers 2

IdentifierTypeStateIssuer
390003552OtherNYMEDICARE RAILROAD
00998334MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110104000563 NY Practitioner - Nephrology 4880502368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Care of Brooklyn and Queens PLLCGroup PAC ID 3072747237, 4 clinicians

Practice addresses (Care Compare)

1402 Atlantic Ave
Brooklyn, NY 11216-2812
Phone (718) 369-0318

1530 Bedford Ave
Brooklyn, NY 11216-4117
Phone (718) 369-0318

358 4TH Ave
Brooklyn, NY 11215-2718
Phone (718) 369-0318

577 Prospect Ave
Apt 1B
Brooklyn, NY 11215-6074
Phone (718) 369-0318

595 Degraw St
Brooklyn, NY 11217-3120
Phone (718) 369-0318

Hospital & facility affiliations

  • FMS-Nephrocare Dialysis facility, Brooklyn, NY, CCN 332534
  • FMS-Nephro Care West Dialysis facility, Brooklyn, NY, CCN 332550
  • Fresenius Kidney Care - Degraw Street Dialysis facility, Brooklyn, NY, CCN 332745
  • Ditmas Park Dialysis Center Dialysis facility, Brooklyn, NY, CCN 332809
  • Palm Garden Dialysis Center Dialysis facility, Brooklyn, NY, CCN 332739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
136867NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wyckoff Heights Medical Center Current Accepting new patients
Kidney Care of Brooklyn and Queens, PLLC Nephrology CurrentSince Jun 1, 2013 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Wyckoff Medical Services, P C Past Accepting new patients

Locations

1471 DeKalb Ave
Brooklyn, NY 11237
Phone (516) 833-5505

1530 Bedford Ave
Fl 3
Brooklyn, NY 11216
Phone (718) 400-6951

1530 Bedford Ave
Brooklyn, NY 11216
Phone (718) 221-2020

1402 Atlantic Ave
Brooklyn, NY 11216
Phone (718) 771-6961

326 7th St
Brooklyn, NY 11215
Phone (718) 369-3300

1530 Bedford Ave
#3
Brooklyn, NY 11216
Phone (718) 774-1524

380 Henry St
Brooklyn, NY 11201
Phone (718) 237-1717

595 Degraw St
Brooklyn, NY 11217
Phone (718) 852-0197

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: nealmittman@whmc.allscriptsdirect.net
  • Direct secure messaging: nem9046@direct.nyp.org
  • Direct secure messaging: nealmittman@mai.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1972521656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101160450",
            "telephone_number": "718-369-0318",
            "fax_number": "718-369-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 PROSPECT AVE",
            "address_2": "SUITE 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156065",
            "telephone_number": "718-369-0318",
            "fax_number": "718-369-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTMAN",
        "first_name": "NEAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "136867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "390003552",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00998334",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.