Individual provider Active NPI

Neerja Misra, MD

  • Internal Medicine Physician
  • Hamilton, NJ
National Provider Identifier
1093824732
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA59560 Issued in NJ
Practice address
2279 Highway 33 Ste 518
Hamilton, NJ 08690-1750
Phone
(609) 689-9001
Fax
(609) 689-9002
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA59560 NJ Primary

Addresses

Primary practice location

2279 Highway 33 Ste 518
Hamilton, NJ 08690-1750

Mailing address

2279 Highway 33 Ste 518
Hamilton, NJ 08690-1750
Phone (609) 689-9001

Other identifiers 1

IdentifierTypeStateIssuer
6100503MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110606000460 NJ Practitioner - Internal Medicine 7810174562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
College of Medicine and Surgery, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2279 Hwy 33 518
Hamilton, NJ 08690-1750
Phone (609) 689-9001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA59560NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quick Care Medical CurrentSince Jan 12, 2011 Accepting new patients

Locations

2279 Route 33
Ste 518
Trenton, NJ 08690
Phone (609) 689-9001

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093824732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2279 HIGHWAY 33 STE 518",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086901750",
            "telephone_number": "609-689-9001",
            "fax_number": "609-689-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2279 HIGHWAY 33 STE 518",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086901750",
            "telephone_number": "609-689-9001",
            "fax_number": "609-689-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISRA",
        "first_name": "NEERJA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA59560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6100503",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.