Active NPI
Manju Misra MD PC
- Pediatric Adolescent Medicine Physician
- Somerset, NJ
National Provider Identifier
1144580267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 25MA05267300
- Legal business name
- MANJU MISRA MD PC
- Practice address
- 1553 State Route 27
Suite 2500
Somerset, NJ 08873-3980 - Phone
- (732) 296-9717
- Fax
- (732) 296-9711
- NPI assigned
- May 22, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Manju Misra, M.D.
- Title
- Physician
- Phone
- (732) 296-9717
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 25MA05267300 | NJ | Primary |
Addresses
Primary practice location
1553 State Route 27
Suite 2500
Somerset, NJ 08873-3980
Mailing address
1553 State Route 27
Suite 2500
Somerset, NJ 08873-3980
Phone (732) 296-9717
National Provider Directory
National Provider DirectoryLocations
1553 State Route 27
Ste 2500
Somerset, NJ 08873
Phone (732) 296-9717
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Adolescent Medicine Physician
- Somerset, NJ
- NPI 1861552671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337644800000",
"number": "1144580267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1553 STATE ROUTE 27",
"address_2": "SUITE 2500",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088733980",
"telephone_number": "732-296-9717",
"fax_number": "732-296-9711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1553 STATE ROUTE 27",
"address_2": "SUITE 2500",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088733980",
"telephone_number": "732-296-9717",
"fax_number": "732-296-9711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANJU MISRA MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-22",
"last_updated": "2012-05-22",
"status": "A",
"authorized_official_last_name": "MISRA",
"authorized_official_first_name": "MANJU",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "732-296-9717",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NJ",
"license": "25MA05267300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.