Rabia Meherwan Mistry, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

240808 Issued in NY

Practice address

800 Hooper Rd
Endwell, NY 13760-1560

Phone

(607) 757-0444

Fax

(607) 748-8984

NPI assigned

Nov 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• New York Downtown Medical Associates

  • Internal Medicine Physician
  • New York, NY
  • NPI 1427095652
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1205902806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 LUSK ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902541",
            "telephone_number": "607-763-6293",
            "fax_number": "607-763-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HOOPER RD",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137601560",
            "telephone_number": "607-757-0444",
            "fax_number": "607-748-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTRY",
        "first_name": "RABIA",
        "middle_name": "MEHERWAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "240808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2837314",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Therese Mallery, FNP
• Mary Clare Marasco, L/OTR
• Elizabeth Marie Meyer, C.O.T.A./L
• Micaela Elizabeth Miceli, FNP
• Alan V Miller, M.D.
• Garrett Jon Modlo, M.S.,R.D.,C.D.N
• Rachel Mondelli
• Stephen Keith Morrison, D.M.D.
• Jennifer Morrow, PHARM-D
• Hatem Jasim Mukhlis, M.D.

• Internal Medicine Physician in Endwell, NY
• Providers in Endwell, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.