Misharllc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

MISHARLLC

Practice address

20 Hospital Dr Ste 18
Toms River, NJ 08755-6434

Phone

(646) 261-2631

NPI assigned

Feb 15, 2021

Organization subpart

No

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

Authorized official

Name

Payam Benson, MDNPI 1457539850

Title

Owner

Phone

(646) 261-2631

Specialties & licenses 1

Addresses

Other names 1

• MISHARLLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Payam Benson, MD

  • Nephrology Physician
  • Bergenfield, NJ
  • NPI 1457539850
  NPD Authorized official

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1689267239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 MAITLAND AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663026",
            "telephone_number": "646-261-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HOSPITAL DR STE 18",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556434",
            "telephone_number": "646-261-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISHARLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "PAYAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-261-2631",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MISHARLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Minetti, MD
• Crystal Mingo
• Mira Vie at Toms River Opco LLC
• William Miranda, LPC
• Jai Mirchandani, MD
• Yash Mishra, MD
• Pandurang R Miskin, MD
• Jeffrey Miskoff, DO
• Kanchan Misra
• David S Mitchell, D.O.

• Nephrology Physician in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.