MEDICARE: DR. SUNEET MITTAL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0001X	Clinical Cardiac Electrophysiology Physician	202450	NY
2	207RC0001X	Clinical Cardiac Electrophysiology Physician	25MA08175800	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477666923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUNEET MITTAL M.D.

Provider Business Mailing Address
First Line	:	4 VALLEY HEALTH PLZ
Second Line	:
City	:	PARAMUS
State	:	NJ
Zip	:	07652-3619
Country	:	US
Telephone Number	:	201-432-7837
Fax Number	:	201-432-7830

Provider Business Practice Location Address
First Line	:	140 E RIDGEWOOD AVE STE 720
Second Line	:
City	:	PARAMUS
State	:	NJ
Zip	:	07652-3917
Country	:	US
Telephone Number	:	201-432-7837
Fax Number	:	201-432-7830

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	08/16/2025

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