Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Lavanya Mittal, MD

Individual provider Dermatology Physician · NPI 1528563509

Dr. Lavanya Mittal, MD is a Dermatology in New York, New York. Qualified in 2018, 8 years ago. Practices with Memorial Dermatology Group, a 19-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1275 York Ave
New York, NY 10065-6007
Phone: (646) 814-2440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 — (908) 466-5980

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 315224 (NY)

Record details

NPI number1528563509
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2018
Last updated in NPPESMay 21, 2024
Certification dateMay 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Memorial Dermatology Group — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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