Active NPI
Neal Mittman, MD
- Nephrology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 136867
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390003552 | Other | NY | MEDICARE RAILROAD |
| 00998334 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- FMS-Nephro Care West
- Fresenius Kidney Care - Degraw Street
- Ditmas Park Dialysis Center
- Palm Garden Dialysis Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 136867 | NY | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wyckoff Heights Medical Center | Current | Accepting new patients | |
| Kidney Care of Brooklyn and Queens, PLLC | Nephrology | Current | 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
- nealmittman@whmc.allscriptsdirect.net
- nem9046@direct.nyp.org
- 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.
-
- Nephrology Physician
- Brooklyn, NY
- NPI 1588002315
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1700886322
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1558308411
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Peritoneal Dialysis Registered Nurse
- Brooklyn, NY
- NPI 1023587854
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Brooklyn, NY
- NPI 1598869364
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Brooklyn, NY
- NPI 1609325349
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Brooklyn, NY
- NPI 1578968582
Dialysis facility
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.