Active NPIIndividual providerSole proprietor

David A Mitnick, MD

Psychiatry & Neurology, Psychiatry in Glen Rock, New Jersey

NPI Number1720130248
Practice location
3 Keith Pl, Glen Rock, NJ 07452-3712
Fax
201-880-7570
Last updated
November 14, 2022

David A Mitnick is a Psychiatry & Neurology, Psychiatry based in Glen Rock, NJ. David A Mitnick practices in Glen Rock, NJ and has the professional credentials of MD. The NPI Number for David A Mitnick is 1720130248 and holds a License No. MA57877 (NJ). The current practice location address for David A Mitnick is 3 Keith Pl, Glen Rock, NJ 07452-3712 and can be reached out via phone at 201-880-7575 and via fax at 201-880-7570.

Provider Profile Details

NPI Number
1720130248
Provider Name
David A Mitnick
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3 Keith Pl, Glen Rock, NJ 07452-3712
Phone Number
201-880-7575
Fax Number
201-880-7570
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
Yes
Provider Enumeration Date
January 17, 2007
Last Update Date
November 14, 2022
Certification Date
November 14, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Keith Pl
Glen Rock, NJ 07452-3712
Zip
07452-3712
Phone Number
201-880-7575
Fax Number
201-880-7570
Glen Rock, NJ 07452Get directions →

Provider Business Mailing Address Details

Address
3 Keith Pl
Glen Rock, NJ 07452-3712
City
Glen Rock
State
NJ
Zip
07452-3712
Phone Number
201-880-7575
Fax Number
201-880-7570

License Information

License Number
MA57877
License State
NJ
Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of David A Mitnick, MD?

The NPI number of David A Mitnick, MD is 1720130248. It was assigned on January 17, 2007 and is currently active in the NPPES registry.

What is the specialty of David A Mitnick, MD?

David A Mitnick, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in NJ under license number MA57877.

Where does David A Mitnick, MD practice?

The practice location is 3 Keith Pl, Glen Rock, NJ 07452-3712. The office can be reached at 201-880-7575 (phone) or 201-880-7570 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720130248 directly on the NPPES registry website.

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