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KATIE MITASZKA PA-C
NPI 1972164606
Physician Assistant - Surgical in New York, NY

Active since June 24, 2019
1901 FIRST AVENUE, 12TH FLOOR ROOM 12A1, NEW YORK, NY 10029(212) 423-7913 Get Directions Write a Review

NPPES record last updated: October 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katie Mitaszka Pa-c NPPES

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

KATIE MITASZKA PA-C (NPI 1972164606) is an individual surgical provider in New York, New York, licensed in New York (023902) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1972164606
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKATIE MITASZKACredential: PA-C
Location Address1901 FIRST AVENUE, 12TH FLOOR ROOM 12A1New York, NY 10029
Mailing Address3920 Greenpoint Ave Apt 7jSunnyside, NY 11104-4523 · (508) 667-0500
Phone(212) 423-7913
Sole ProprietorYes
Enumeration DateJune 24, 2019
Last NPPES UpdateOctober 7, 2019
✔ NPI 1972164606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 023902
1901 FIRST AVENUE, New York, NY 10029
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

DR. VIVIAN CHOW SUN MD
Pediatrics
1901 FIRST AVENUE, DEPARTMENT OF PEDIATRICS
NEW YORK, NY 10029
New York County (212) 423-7820
PRAVA KARKI MD
Student in an Organized Health Care Education/Training Program
1901 FIRST AVENUE
NEW YORK CITY, NY 10029
New York County (212) 423-6771
DR. MIRZA FAWAD AHMED M.D.
Student in an Organized Health Care Education/Training Program
1901 FIRST AVENUE, DEPT. OF INTERNAL MEDICINE, METROPOLITAN HOSPITAL
NEW YORK, NY 10029
New York County (212) 423-6771
MS. RACINE ELAINE LOCSIN REINOSO M.D.
Student in an Organized Health Care Education/Training Program
1901 FIRST AVENUE
NEW YORK, NY 10029
New York County (212) 423-6771
MS. VONGDUEN KERDCHANA LCSW
Social Worker (Clinical)
1901 FIRST AVENUE, ROOM 2M29
NEW YORK, NY 10029
New York County (212) 423-6825
MR. HUDSON MARTINS DE BRITO M.D.
Student in an Organized Health Care Education/Training Program
1901 FIRST AVENUE
NEW YORK, NY 10029
New York County (212) 423-6262
DR. THEODORE HENRY LENOX III MD
Internal Medicine (Infectious Disease)
1901 FIRST AVENUE, RM 7B-1
NEW YORK, NY 10029
New York County (212) 423-7247
MS. FAITH WEDDERBURN LMSW
Social Worker
1901 FIRST AVENUE
NEW YORK, NY 10029
New York County (212) 423-7012

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 Katie Mitaszka's NPI number?

The NPI number for Katie Mitaszka is 1972164606. It was assigned to this individual provider in the NPPES registry on June 24, 2019.

Where is Katie Mitaszka located?

Katie Mitaszka practices at 1901 First Avenue 12th Floor Room 12a1, New York, NY 10029. The listed phone number is (212) 423-7913.

What is Katie Mitaszka's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Katie Mitaszka was last updated on October 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.