Individual provider Active NPI

Mira Kehar, MD

  • Anesthesiology Physician
  • Hackensack, NJ
National Provider Identifier
1124341433
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA09299700 Issued in NJ
Practice address
30 Prospect Ave
Hackensack, NJ 07601-1914
Phone
(201) 488-0066
NPI assigned
Mar 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA09299700 NJ Primary

Addresses

Primary practice location

30 Prospect Ave
Hackensack, NJ 07601-1914

Mailing address

PO Box 18914
Newark, NJ 07191-8914
Phone (201) 488-0066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20150521001501 NY Practitioner - Anesthesiology 7416190251 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sedation Vacation Perioperative Medicine PLLCGroup PAC ID 1759658594, 86 clinicians
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

10512 101St Ave
Ozone Park, NY 11416-2703
Phone (718) 847-3700

506 Lenox Ave
New York, NY 10037-1802
Phone (212) 939-1840

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Glacier Cryo Medical P.C Anesthesiology CurrentSince Aug 27, 2019 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Aug 27, 2019 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
R&N Anesthesia PLLC Anesthesiology CurrentSince Aug 27, 2019 Accepting new patients
Igor Amigud Physician P.C. CurrentSince Mar 19, 2018 Accepting new patients
Centurion Midtown Anesthesia PLLC Anesthesiology CurrentSince Jan 31, 2025 Accepting new patients
Advantagecare Physicians PC CurrentSince Sep 25, 2017 Accepting new patients
Advantagecare Physicians PC CurrentSince Sep 25, 2017 Accepting new patients
Metropolitan Medical Practice Plan PC CurrentSince Apr 13, 2015 Accepting new patients
New Jersey Healthcare Specialists PC Anesthesiology PastSince May 7, 2023 Accepting new patients

Locations

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

1301 Avenue J
Brooklyn, NY 11230
Phone (718) 645-0600

2632 E 14th St
Brooklyn, NY 11235
Phone (347) 707-7009

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

2829 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 676-4112

11129 Queens Blvd
Forest Hills, NY 11375
Phone (718) 275-8900

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

215 E 95th St
New York, NY 10128
Phone (212) 423-3111

305 E 47th St
New York, NY 10017
Phone (212) 203-8744

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

944 N Broadway
Yonkers, NY 10701
Phone (914) 965-1234

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 10

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": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1124341433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18914",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071918914",
            "telephone_number": "201-488-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011914",
            "telephone_number": "201-488-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHAR",
        "first_name": "MIRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-02",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA09299700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.