Organization Active NPI

Manju Misra MD PC

  • Pediatric Adolescent Medicine Physician
  • Somerset, NJ
National Provider Identifier
1144580267
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
25MA05267300 Issued in NJ
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

Updated by the provider on May 22, 2012

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

Authorized official

Name
Dr. Manju Misra, M.D.NPI 1861552671
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)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.