Individual provider Active NPI

Perveen Mistry, FNP-C

  • Nurse Practitioner
  • Flanders, NJ
National Provider Identifier
1902695323
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ15325200 Issued in NJ
Practice address
16 Southwind Dr
Flanders, NJ 07836-9734
Phone
(862) 324-4672
Fax
(862) 324-4672
NPI assigned
May 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ15325200 NJ Primary

Addresses

Primary practice location

16 Southwind Dr
Flanders, NJ 07836-9734

Mailing address

16 Southwind Dr
Flanders, NJ 07836-9734
Phone (862) 324-4672

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250606001477 NJ Practitioner - Nurse Practitioner 8123538485 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infinite Medical PCGroup PAC ID 8325477656, 87 clinicians

Practice addresses (Care Compare)

498 Washington St
Easton, PA 18042-4432
Phone (718) 534-0689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kane Wound Care LLC CurrentSince May 15, 2025 Accepting new patients
Infinite Medical PC Nurse Practitioner CurrentSince Jul 18, 2025 Accepting new patients

Locations

93 Manalapan Ave
Freehold, NJ 07728
Phone (732) 303-8800

101 Walnut St
Neptune City, NJ 07753
Phone (732) 774-2336

100 Mazdabrook Rd
#One
Parsippany, NJ 07054
Phone (732) 841-9338

3626 US Highway 1
Princeton, NJ 08540
Phone (609) 243-0445

250 Skillman St
Ste 202
Brooklyn, NY 11205

498 Washington St
Easton, PA 18042
Phone (610) 253-4821

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1746144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1902695323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SOUTHWIND DR",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "078369734",
            "telephone_number": "862-324-4672",
            "fax_number": "862-324-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 SOUTHWIND DR",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "078369734",
            "telephone_number": "862-324-4672",
            "fax_number": "862-324-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTRY",
        "first_name": "PERVEEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ15325200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flanders, NJ

Sources for this page

Verify at the official NPI Registry.