Jehangir Mistry

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036054240 Issued in IL

Legal business name

JEHANGIR MISTRY

Practice address

2535 Bethany Rd
Sycamore, IL 60178-3126

Phone

(815) 756-6611

Fax

(815) 756-8441

NPI assigned

Mar 8, 2012

Organization subpart

No

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

Authorized official

Name

Jehangir Mistry, M.D.NPI 1942381439

Title

Owner

Phone

(815) 756-6611

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jehangir P Mistry, MD

  • General Practice Physician
  • Sycamore, IL
  • NPI 1942381439
  NPD (past) Authorized official

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1124392139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 BETHANY RD",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783126",
            "telephone_number": "815-756-6611",
            "fax_number": "815-756-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 BETHANY RD",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783126",
            "telephone_number": "815-756-6611",
            "fax_number": "815-756-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEHANGIR MISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "MISTRY",
        "authorized_official_first_name": "JEHANGIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-756-6611",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "IL",
            "license": "036054240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02700116",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Nicole Jakobsen, PH.D.
• Jamison Allen DO LLC
• Jennifer Lynn Jamison, PHARMD
• Marta Jarka, MS, LCPC
• Jennifer Lynn Jayne-Darlinger
• Jaylene M Jennings, PA-C
• Sarina G Jeswani, M.D.
• Jill M Early LLC
• Bernard Johnson, M.D.
• Carol L Johnson

• General Practice Physician in Sycamore, IL
• Providers in Sycamore, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.