Active NPIIndividual provider

Dr. Kishorkumar P Mistry, MD, PHD

Family Medicine in Newark, New Jersey

NPI Number1861592370
Practice location
465 Mount Prospect Ave, Newark, NJ 07104-2907
Fax
973-483-0132
Last updated
July 8, 2007

Kishorkumar P. Mistry is a Family Medicine based in Newark, NJ. Kishorkumar P. Mistry practices in Newark, NJ and has the professional credentials of MD, PHD. The NPI Number for Kishorkumar P. Mistry is 1861592370 and holds a License No. 25MA06775100 (NJ). The current practice location address for Kishorkumar P. Mistry is 465 Mount Prospect Ave, Newark, NJ 07104-2907 and can be reached out via phone at 973-483-3640 and via fax at 973-483-0132.

Provider Profile Details

NPI Number
1861592370
Provider Name
Kishorkumar P. Mistry
Credential
MD, PHD
Provider Entity Type
Individual
Gender
Male
Address
465 Mount Prospect Ave, Newark, NJ 07104-2907
Phone Number
973-483-3640
Fax Number
973-483-0132
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
September 24, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
465 Mount Prospect Ave
Newark, NJ 07104-2907
City
Newark
Zip
07104-2907
Phone Number
973-483-3640
Fax Number
973-483-0132
Newark, NJ 07104Get directions →

Provider Business Mailing Address Details

Address
36 Patton Dr
Bloomfield, NJ 07003-5224
City
Bloomfield
State
NJ
Zip
07003-5224

License Information

License Number
25MA06775100
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Kishorkumar P Mistry, MD, PHD?

The NPI number of Dr. Kishorkumar P Mistry, MD, PHD is 1861592370. It was assigned on September 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Kishorkumar P Mistry, MD, PHD?

Dr. Kishorkumar P Mistry, MD, PHD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA06775100.

Where does Dr. Kishorkumar P Mistry, MD, PHD practice?

The practice location is 465 Mount Prospect Ave, Newark, NJ 07104-2907. The office can be reached at 973-483-3640 (phone) or 973-483-0132 (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 1861592370 directly on the NPPES registry website.

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