Nader K. Mishreki,MD,MPH,Faap

Primary specialty

Pediatric Hospice and Palliative Medicine PhysicianTaxonomy code 2080H0002X

Legal business name

NADER K. MISHREKI,MD,MPH,FAAP

Practice address

74 W 35TH St
Bayonne, NJ 07002-2829

Phone

(201) 437-8007

Fax

(201) 437-8003

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nader Kameel Mishreki, MD

Title

Owner

Phone

(201) 437-8007

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1366655581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 W 35TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070022829",
            "telephone_number": "201-437-8007",
            "fax_number": "201-437-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 W 35TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070022829",
            "telephone_number": "201-437-8007",
            "fax_number": "201-437-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADER K. MISHREKI,MD,MPH,FAAP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "MISHREKI",
        "authorized_official_first_name": "NADER",
        "authorized_official_middle_name": "KAMEEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-437-8007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080H0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8025703",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Hospice and Palliative Medicine Physician in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Pediatric Hospice and Palliative Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.