Healthcare Provider Details

I. General information

NPI: 1477666923
Provider Name (Legal Business Name): SUNEET MITTAL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 08/16/2025
Certification Date: 08/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 E RIDGEWOOD AVE STE 720
PARAMUS NJ
07652-3917
US

IV. Provider business mailing address

4 VALLEY HEALTH PLZ
PARAMUS NJ
07652-3619
US

V. Phone/Fax

Practice location:
  • Phone: 201-432-7837
  • Fax: 201-432-7830
Mailing address:
  • Phone: 201-432-7837
  • Fax: 201-432-7830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number202450
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number25MA08175800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: