Anjali Naz Mitra, M.D.

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

25MA12316800 Issued in NJ

Practice address

435 South St Ste 380
Morristown, NJ 07960-6481

Phone

(973) 971-7080

Fax

(973) 290-8312

NPI assigned

May 7, 2018

Last updated

Sep 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Obstetrics/Gynecology

Education

Rutgers New Jersey Medical School, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maternal Fetal Medicine of Practice Associates, PAGroup PAC ID 6608813860, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Maternal Fetal Medicine of Practice Associates, PA

  • Maternal & Fetal Medicine Physician
  • Morristown, NJ
  • NPI 1578613840
  Medicare reassignment Care Compare group NPD
• Ahs Hospital Corp

  dba AHS Consolidated Labs

  • Clinical Medical Laboratory
  • Morristown, NJ
  • NPI 1871162834
  NPD (past)

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1487143202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416524",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416524",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 SOUTH ST STE 380",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606481",
            "telephone_number": "973-971-7080",
            "fax_number": "973-290-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITRA",
        "first_name": "ANJALI",
        "middle_name": "NAZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD61141037",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NJ",
            "license": "25MA12316800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487143202",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniella Mironski, MA, LPC
• Alicia Fiore Mirra, PH.D.
• Mariam Mirza, DO
• Zainab Arshad Mirza, M.D
• Mitchell H. Davich, DMD, PA
• Sara Moghareh Dehkordy, MD
• Abdalla Mohamed, MD
• Nicki Mohammadi
• Mahsa Mohammadian, MD
• Ahmed Mohammed, MBCCH

• Maternal & Fetal Medicine Physician in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Maternal & Fetal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.