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SAMANTHA MITNITSKY PA
NPI 1104538917
Physician Assistant in Brooklyn, NY

Active since December 23, 2022PECOS EnrolledAccepts Medicare Assignment
175 REMSEN ST STE 1101, BROOKLYN, NY 11201(718) 696-0186 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 30, 2024, Dec 23, 2022 (2 updates tracked since 2022).

About Samantha Mitnitsky Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA MITNITSKY PA (NPI 1104538917) is an individual physician assistant in Brooklyn, New York and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Touro Un Col Of Osteopathic Medicine, New York (2024).

NPPES Registry Identity

NPI1104538917
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA MITNITSKYCredential: PA
Location Address175 REMSEN ST STE 1101Brooklyn, NY 11201-4300
Mailing Address1 Research RdRidge, NY 11961-2701 · (631) 751-3000
Phone(718) 696-0186
Sole ProprietorYes
Medical School CMSTouro Un Col Of Osteopathic Medicine, New YorkGraduated 2024
Enumeration DateDecember 23, 2022
Last NPPES UpdateApril 29, 20252 updates tracked since enumeration
NPPES CertifiedApril 29, 2025
✔ NPI 1104538917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
175 REMSEN ST STE 1101, Brooklyn, NY 11201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Mitnitsky Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163953613
PECOS Enrollment IDI20241008002128
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Mitnitsky's NPI number?

The NPI number for Samantha Mitnitsky is 1104538917. It was assigned to this individual provider in the NPPES registry on December 23, 2022.

Where is Samantha Mitnitsky located?

Samantha Mitnitsky practices at 175 Remsen St Ste 1101, Brooklyn, NY 11201. The listed phone number is (718) 696-0186.

What is Samantha Mitnitsky's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Samantha Mitnitsky enrolled in Medicare?

Yes. Samantha Mitnitsky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Samantha Mitnitsky was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.