Active NPI
Paul Misthos, M.D.
- Internal Medicine Physician
- Paterson, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 49147
- Practice address
- 100 Hamilton PLZ
Third Floor
Paterson, NJ 07505-2109 - Phone
- (973) 278-6254
- NPI assigned
- Jun 10, 2006
- Last updated
- Jul 24, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 49147 | NJ | Primary |
Addresses
Primary practice location
100 Hamilton PLZ
Third Floor
Paterson, NJ 07505-2109
Mailing address
328 W Saint Georges Ave
Linden, NJ 07036-5638
Phone (908) 925-7519
Other practice location 1
852 Route 3
Clifton, NJ 07012-2343
Phone (973) 450-1991
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160916001634 | NJ | Practitioner - Internal Medicine | 4082856422 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49147 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group PA | Current | Accepting new patients | |
| Summit Medical Group PA | Current | Accepting new patients | |
| Medemerge P.a. | Past | Accepting new patients |
Locations
1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868
282 E Route 4
Paramus, NJ 07652
Phone (551) 222-0800
Interoperability endpoints
- paul.misthos.1@2983.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1043930555
-
- Multi-Specialty Clinic/Center
- Berkeley Heights, NJ
- NPI 1942254347
-
- Family Medicine Physician
- Green Brook, NJ
- NPI 1184643132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563926400000",
"number": "1982645610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 W SAINT GEORGES AVE",
"city": "LINDEN",
"state": "NJ",
"postal_code": "070365638",
"telephone_number": "908-925-7519",
"fax_number": "908-925-2842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HAMILTON PLZ",
"address_2": "THIRD FLOOR",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075052109",
"telephone_number": "973-278-6254"
}
],
"practiceLocations": [
{
"address_1": "852 Route 3",
"address_purpose": "LOCATION",
"city": "Clifton",
"state": "NJ",
"postal_code": "070122343",
"country_code": "US",
"telephone_number": "973-450-1991",
"fax_number": "973-528-8009",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISTHOS",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2019-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "49147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.