Organization Active NPI

Mist Physician P.C.

  • Obesity Medicine (Preventive Medicine) Physician
  • Silver Spring, MD
National Provider Identifier
1891409561
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Preventive Medicine) PhysicianTaxonomy code 2083B0002X
Legal business name
MIST PHYSICIAN P.C.
Practice address
8403 Colesville Rd Ste 100
Silver Spring, MD 20910-6331
Phone
(844) 625-0623
NPI assigned
Jan 9, 2023
Organization subpart
Yes
Parent organization
MIST HEALTH PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Mr. Alexander Singh
Title
Authorized Official
Phone
(844) 625-0623

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Obesity Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083B0002X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

8403 Colesville Rd Ste 100
Silver Spring, MD 20910-6331

Mailing address

222 Broadway FL 22
New York, NY 10038-2570
Phone (844) 625-0623

Other practice location 1

11815 Fountain Way Ste 300
Newport News, VA 23606-4448
Phone (844) 625-0623

Other practice location 2

5050 Quorum Dr Ste 700
Dallas, TX 75254-1410
Phone (844) 625-0623

Other practice location 3

111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone (844) 625-0623

Other practice location 4

2001 Route 46
Waterview Plaza Suite 310
Parisppany, NJ 07054
Phone (844) 625-0623

National Provider Directory

National Provider Directory
Part of
Mist Health PC

Locations

8403 Colesville Rd
Ste 100
Silver Spring, MD 20910
Phone (844) 625-0623

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1891409561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 BROADWAY FL 22",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382570",
            "telephone_number": "844-625-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8403 COLESVILLE RD STE 100",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209106331",
            "telephone_number": "844-625-0623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11815 Fountain Way Ste 300",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236064448",
            "country_code": "US",
            "telephone_number": "844-625-0623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5050 Quorum Dr Ste 700",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752541410",
            "country_code": "US",
            "telephone_number": "844-625-0623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 N Orange Ave Ste 800",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328012381",
            "country_code": "US",
            "telephone_number": "844-625-0623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Route 46",
            "address_2": "Waterview Plaza Suite 310",
            "address_purpose": "LOCATION",
            "city": "Parisppany",
            "state": "NJ",
            "postal_code": "07054",
            "country_code": "US",
            "telephone_number": "844-625-0623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIST PHYSICIAN P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIST HEALTH PC",
        "enumeration_date": "2023-01-09",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "844-625-0623",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.