Asmita Mahato

Individual provider Active NPI Registered Nurse · Bogota, NJ

NPI 1285582064 · NPPES record last updated Mar 24, 2026

Key facts

NPI
1285582064
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
26NR20664900 (NJ)
Practice address
53 E Broad St
Bogota, NJ 07603-1101
Phone
(201) 790-8245
NPI assigned
Mar 18, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
26NR20664900NJMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR20664900 NJ Yes

Addresses

Primary practice location

53 E Broad St
Bogota, NJ 07603-1101

Mailing address

53 E Broad St
Bogota, NJ 07603-1101

Other providers in Bogota, NJ

All providers in Bogota, NJ · Registered Nurse in New Jersey

Sources for this page

Verify at the official NPI Registry.