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CHARLES A. MITGANG, M.D. P.C.
NPI 1104945179
Internal Medicine in Rockville Centre, NY

Active since March 28, 2007CLIA 33D0154593 · Waiver
371 MERRICK RD, SUITE 302, ROCKVILLE CENTRE, NY 11570(516) 678-5555(516) 678-9128 Get Directions Write a Review

NPPES record last updated: December 1, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charles A. Mitgang, M.d. P.c. NPPES

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

CHARLES A. MITGANG, M.D. P.C. (NPI 1104945179) is a healthcare organization registered as an internal medicine in Rockville Centre, New York and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through June 4, 2027 and lists Charles Mitgang, President, as its authorized official.

NPPES Registry Identity

NPI1104945179
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCHARLES A. MITGANG, M.D. P.C.
Location Address371 MERRICK RD, SUITE 302Rockville Centre, NY 11570-5359
Mailing Address371 Merrick Rd, Suite 302Rockville Centre, NY 11570-5359 · (516) 678-5555 · Fax (516) 678-9128
Phone(516) 678-5555
Fax(516) 678-9128
Organization SubpartNo
Authorized OfficialCharles MitgangPresident · (516) 678-5555
Enumeration DateMarch 28, 2007
Last NPPES UpdateDecember 1, 2009
✔ NPI 1104945179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 127551
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
371 MERRICK RD, Rockville Centre, NY 11570
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0154593

Charles A Mitgang MD PC · Rockville Centre, NY
Active · expires Jun 4, 2027
CLIA Number33D0154593
Laboratory TypePhysician Office
Certificate Effective DateJune 5, 2025
Certificate Expiration DateJune 4, 2027
Laboratory DirectorDr. Charles A. Mitgang
Laboratory Phone(516) 678-5555
Laboratory LocationCharles A Mitgang MD PC371 Merrick Road Suite 407, Rockville Centre, NY 11570
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIANA E WEINBERG PA
Physician Assistant (Medical)
371 MERRICK RD
ROCKVILLE CENTRE, NY 11570
Nassau County (516) 678-5555
CHARLES ALLEN MITGANG M.D.
Internal Medicine
371 MERRICK RD, STE 302
ROCKVILLE CENTRE, NY 11570
Nassau County (516) 678-5555
DR. FARID SHAHKOOHI M.D.
Internal Medicine
371 MERRICK RD, STE 302
ROCKVILLE CENTRE, NY 11570
Nassau County (516) 678-5555
HORIZON OB GYN ASSOCIATES PC
Obstetrics & Gynecology
371 MERRICK RD, SUITE 203
ROCKVILLE CENTRE, NY 11570
Nassau County (516) 766-7626
CAROLYN OH MD
Obstetrics & Gynecology
371 MERRICK RD, SUITE 203
ROCKVILLE CENTRE, NY 11570
Nassau County (516) 766-7626
BRADLEY S. PORTENOY, D.D.S,P.C.
Dentist (Prosthodontics)
371 MERRICK RD, SUITE 304
ROCKVILLE CENTRE, NY 11570
Nassau County (516) 764-4386
MS. BONNI G. SCHOENBACH LCSW-R
Social Worker (Clinical)
371 MERRICK RD, SUITE 201
ROCKVILLE CENTRE, NY 11570
Nassau County (516) 766-7632
DR. ANNETTE BAGGOTT M.D.
Obstetrics & Gynecology
371 MERRICK RD, SUITE 203
ROCKVILLE CENTRE, NY 11570
Nassau County (516) 766-7626

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 Charles A. Mitgang, M.D. P.C.'s NPI number?

The NPI number for Charles A. Mitgang, M.D. P.C. is 1104945179. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Charles A. Mitgang, M.D. P.C. located?

Charles A. Mitgang, M.D. P.C. is located at 371 Merrick Rd Suite 302, Rockville Centre, NY 11570. The listed phone number is (516) 678-5555.

What is Charles A. Mitgang, M.D. P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Charles A. Mitgang, M.D. P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0154593) is associated with this NPI, valid through June 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Charles A. Mitgang, M.D. P.C. was last updated on December 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.