Nima Missaghian

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

3701 Conshohocken Ave Apt 1106
Philadelphia, PA 19131-5520

Phone

(773) 673-6085

NPI assigned

Mar 27, 2019

Last updated

Mar 27, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral SurgeryAlso: Maxillofacial Surgery

Education

Univ of Pennsylvania School of Dental Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolina Surgical Arts PAGroup PAC ID 8426206749, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carolina Surgical Arts PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Greensboro, NC
  • NPI 1508997883
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1306307897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 CONSHOHOCKEN AVE APT 1106",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191315520",
            "telephone_number": "773-673-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 CONSHOHOCKEN AVE APT 1106",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191315520",
            "telephone_number": "773-673-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISSAGHIAN",
        "first_name": "NIMA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dhanashri Pandurang Miskin, M.D.
• Augusta Zee Miskovicz, OTR
• Amy Miskovsky, CRNP
• Akshay Misra, PSYD
• Amber Renee Misra, DNP
• Richard Missett, D.O.
• Mission Business Enterprises LLC (Brighter Day Homecare Services)
• Mission First Homecare LLC
• Jose Cohen Missri, M.D.
• Sara Misthal, M.D.

• Student in an Organized Health Care Education/Training Program in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Student in an Organized Health Care Education/Training Program in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.