JORDAN MITTELMARK
NPI 1376432856
Student in an Organized Health Care Education/Training Program in Freeport, NY

Q: What is Jordan Mittelmark's NPI number?

The NPI number for Jordan Mittelmark is 1376432856. It was assigned to this individual provider in the NPPES registry on June 30, 2025.

Q: What is Jordan Mittelmark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Mittelmark was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 30, 2025

301 LOCUST AVE, FREEPORT, NY 11520(516) 854-9333 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jordan Mittelmark NPPES

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

JORDAN MITTELMARK (NPI 1376432856) is an individual student in an organized health care education/training program in Freeport, New York and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1376432856

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJORDAN MITTELMARK

Location Address301 LOCUST AVEFreeport, NY 11520-4833

Mailing Address301 Locust AveFreeport, NY 11520-4833 · (516) 854-9333

Phone(516) 854-9333

Sole ProprietorYes

Enumeration DateJune 30, 2025

NPPES CertifiedJune 30, 2025

✔ NPI 1376432856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

301 LOCUST AVE, Freeport, NY 11520

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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 Jordan Mittelmark's NPI number?

The NPI number for Jordan Mittelmark is 1376432856. It was assigned to this individual provider in the NPPES registry on June 30, 2025.

Where is Jordan Mittelmark located?

Jordan Mittelmark practices at 301 Locust Ave, Freeport, NY 11520. The listed phone number is (516) 854-9333.

What is Jordan Mittelmark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jordan Mittelmark was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.