Manju Misra, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

MA52673 Issued in NJ

Practice address

1553 State Route 27 Ste 2500
Somerset, NJ 08873-3982

Phone

(732) 296-9717

Fax

(732) 296-9711

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: manju.misra.1@19323.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/19323/brand/1/csg/1/fhir/r4

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.

• Manju Misra MD PC

  • Pediatric Adolescent Medicine Physician
  • Somerset, NJ
  • NPI 1144580267
  NPD (past) Authorized official
• Naveen Mehrotra, MD, PA

  • Pediatrics Physician
  • Edison, NJ
  • NPI 1063784841
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861552671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1553 STATE ROUTE 27 # 2500",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "732-296-9717",
            "fax_number": "732-296-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 STATE ROUTE 27 STE 2500",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733982",
            "telephone_number": "732-296-9717",
            "fax_number": "732-296-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISRA",
        "first_name": "MANJU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "MA52673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Ryan Miller, PT
• Mindspace Mental Health
• Maryanne Minischetti, RN APNC PHD
• Miracle Infusion and Specialty Pharmacy, Inc.
• Batia Miretzky Drucker, LCSW
• Diana Rachel Misrahi, OTR/L
• Mousumi Seal Mitra, FNP
• Bharath Kumar Mittapalli, M.D.
• Mobile First LLC
• Pooja M Modh, MSN,FNP-C,BSN,RN,CEN

• Pediatric Adolescent Medicine Physician in Somerset, NJ
• Providers in Somerset, NJ by specialty
• Pediatric Adolescent Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.