Active NPI
Shital Mistry, APN
- Nurse Practitioner
- Hackensack, NJ
National Provider Identifier
1801426416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ01005800
- Practice address
- 575 Main St Ste 201
Hackensack, NJ 07601-5987 - Phone
- (833) 377-8474
- NPI assigned
- Jan 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ01005800 | NJ | Primary |
Addresses
Primary practice location
575 Main St Ste 201
Hackensack, NJ 07601-5987
Mailing address
575 Main St Ste 201
Hackensack, NJ 07601-5987
Phone (833) 377-8474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Other | 0 |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 201-457-2300 | Other | |
| Other URL | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01005800 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood of Northern, Central, and Southern New Jersey, Inc. | Past | Accepting new patients |
Interoperability endpoints
- shital.mistry.p11@direct.ppncsnj.nextgenshare.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Family Planning Facility
- Elizabeth, NJ
- NPI 1508930561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1801426416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 MAIN ST STE 201",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076015987",
"telephone_number": "833-377-8474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 MAIN ST STE 201",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076015987",
"telephone_number": "833-377-8474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISTRY",
"first_name": "SHITAL",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-23",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ01005800",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "201-457-2300",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Office phone",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "None",
"address_1": "331 Summit Ave",
"city": "Hackensack",
"state": "NJ",
"country_code": "US",
"postal_code": "076011429",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Other",
"affiliation": "N",
"endpointDescription": "Office",
"address_1": "331 Summit Ave",
"city": "Hackensack",
"state": "NJ",
"country_code": "US",
"postal_code": "076011429",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.