KATIE MITASZKA (NPI# 1972164606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972164606 |
| Entity Type | Individual |
| Full Name | KATIE MITASZKA |
| Credential | PA-C |
| Practice Address |
1901 First Avenue 12th Floor Room 12a1 New York NY 10029 |
| Mailing Address |
3920 Greenpoint Ave Apt 7j Sunnyside NY 11104-4523 |
| Practice Telephone | 2124237913 |
| Mailing Telephone | 5086670500 |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
023902 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1901 First Avenue, 12th Floor Room 12a1, New York, NY 10029 | 2124237913 |
| Street Address |
1901 FIRST AVENUE 12TH FLOOR ROOM 12A1 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295803518 | Norma R. Dunn | Psychiatry & Neurology | 1901 First Avenue, Metropolitan Hospital Center, New York, NY 10029 | 2006-12-04 |
| 1740894906 | Nidhi Arora | Student in an Organized Health Care Education/Training Program | 1901 First Avenue, Metropolitan Hospital Center, New York, NY 10029 | 2020-09-04 |
| 1487268736 | Tonyan Melanie-rose Thompson | Student in an Organized Health Care Education/Training Program | 1901 First Avenue, Department of Internal Medicine, Metropolitan Hospital, New York, NY 10029 | 2020-09-03 |
| 1003429960 | Victor Rafael Delgado Lazo | Student in an Organized Health Care Education/Training Program | 1901 First Avenue, Metropolitan Hospital Center, Department of Medicine, New York, NY 10029 | 2020-08-28 |
| 1750941530 | Margaret Eileen Gallagher | Student in an Organized Health Care Education/Training Program | 1901 First Avenue, New York, NY 10029 | 2019-06-14 |
| 1942866173 | Khalid Ahmad Almohaideb | Student in an Organized Health Care Education/Training Program | 1901 First Avenue, Department of Internal Medicine, New York, NY 10029 | 2019-05-13 |
| 1841785334 | Alfredo Fernando Valdez | Student in an Organized Health Care Education/Training Program | 1901 First Avenue, New York, NY 10029 | 2018-06-27 |
| 1588160386 | Shehram Mohammad Majid | Psychiatry & Neurology | 1901 First Avenue, Department of Psychiatry - Mental Health Building, New York, NY 10029 | 2018-04-02 |
| 1376064097 | Kwon Soo Kim | Student in an Organized Health Care Education/Training Program | 1901 First Avenue, New York, NY 10029 | 2017-07-03 |
| 1447780010 | George Davis Ide | Student in an Organized Health Care Education/Training Program | 1901 First Avenue, Metropolitan Hospital Center Department of Psychiatry, New York, NY 10029 | 2017-06-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547029 | Erica Marie Mclaughlin | Counselor | 109 E. 115th Street, New York, NY 10029 | 2020-10-30 |
| 1992305601 | Ayan Kumar | Student in an Organized Health Care Education/Training Program | New York Medical College/ Metropolitan Hospital, 1901, First Avenue, New York City, NY 10029 | 2020-10-30 |
| 1538767306 | Noily Noemi Nezbeth | Registered Nurse | 1 Gustav Levy, New York, NY 10029 | 2020-10-14 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
| 1013525724 | Avihai Moscovici | Student in an Organized Health Care Education/Training Program | 1 Gustave L. Levy Pl, New York, New York, NY 10029 | 2020-07-20 |
| 1912523473 | Gayathri Sreenivasan | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, Metropolitan Hospital Center, Department of Pediatrics, New York, NY 10029 | 2020-06-22 |
| 1417572801 | Rachana Borkar | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, New York, Metropolitan Hospital Center Department of Int Medicine, New York, NY 10029 | 2020-06-11 |
| 1831713197 | Dania Isabel Antunez | Student in an Organized Health Care Education/Training Program | 1901 1 St Avenue, New York, NY 10029 | 2020-06-02 |
| 1972122323 | Antoine Beayno | Student in an Organized Health Care Education/Training Program | The Mount Sinai Hospital- 1468 Madison Ave, New York City, NY 10029 | 2020-04-15 |
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| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347078 | Alana Janine Miller | Physician Assistant | 1060 5th Ave # 1b, New York, NY 10128-0104 | 2020-08-21 |
| 1861041840 | Gabriella Fluss | Physician Assistant | 268 W 84th St Apt 6c, New York, NY 10024-4362 | 2019-09-11 |
| 1659929123 | Jacob Mark Czajka | Physician Assistant | 130 E 77th St Fl Hall11, New York, NY 10075-1851 | 2019-08-28 |
| 1033766860 | Deena Rothman | Physician Assistant | 1090 Amsterdam Ave Ste 10a, New York, NY 10025-1737 | 2019-08-26 |
| 1730698747 | Nolle L Graham | Physician Assistant | East 101 Street, New York, NY 10029 | 2017-09-21 |
| 1629594494 | Emma Ungureanu | Physician Assistant | 1790 Broadway/ 5 Columbus Circle, Fl 8, New York, NY 10019-1412 | 2017-08-14 |
| 1881117141 | Kaitlin Anne Tergesen | Physician Assistant | 3959 Broadway # Chn216, New York, NY 10032-1559 | 2017-07-19 |
| 1356879217 | Andreina Armas | Physician Assistant | E 101st Street, Mount Sinai, New York, NY 10029 | 2017-05-23 |
| 1093189870 | Amanda Londino | Physician Assistant | 568 Park Avenue, New York, NY 10068 | 2015-11-17 |
| 1437521549 | Heather Sorrentino | Physician Assistant | 105 Haven Ave Apt 3d, New York, NY 10032-2708 | 2015-10-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.