Padama Misra, AGNP-C
Nurse Practitioner, Gerontology in Montclair, New Jersey
1750133039- Practice location
- 28 Valley RD # 148, Montclair, NJ 07042-2709
- Phone
- 973-559-4600
- Fax
- 855-998-4358
- Last updated
- June 26, 2025
Padama Misra is a Nurse Practitioner, Gerontology based in Montclair, NJ. Padama Misra practices in Montclair, NJ and has the professional credentials of AGNP-C. The NPI Number for Padama Misra is 1750133039 and holds a License No. 26NJ15009300 (NJ). The current practice location address for Padama Misra is 28 Valley RD # 148, Montclair, NJ 07042-2709 and can be reached out via phone at 973-559-4600 and via fax at 855-998-4358.
Provider Profile Details
- NPI Number
- 1750133039
- Provider Name
- Padama Misra
- Credential
- AGNP-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 28 Valley RD # 148, Montclair, NJ 07042-2709
- Phone Number
- 973-559-4600
- Fax Number
- 855-998-4358
- Primary Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 2, 2024
- Last Update Date
- June 26, 2025
- Certification Date
- June 26, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 28 Valley RD # 148
Montclair, NJ 07042-2709 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-2709
- Phone Number
- 973-559-4600
- Fax Number
- 855-998-4358
Provider Business Mailing Address Details
- Address
- 1 Oakey Dr
Kendall Park, NJ 08824-1625 - City
- Kendall Park
- State
- NJ
- Zip
- 08824-1625
- Phone Number
- 917-617-5488
License Information
- License Number
- 26NJ15009300
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Padama Misra, AGNP-C?
The NPI number of Padama Misra, AGNP-C is 1750133039. It was assigned on April 2, 2024 and is currently active in the NPPES registry.
What is the specialty of Padama Misra, AGNP-C?
Padama Misra, AGNP-C is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in NJ under license number 26NJ15009300.
Where does Padama Misra, AGNP-C practice?
The practice location is 28 Valley RD # 148, Montclair, NJ 07042-2709. The office can be reached at 973-559-4600 (phone) or 855-998-4358 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750133039 directly on the NPPES registry website.