Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1114134434 Deactivated / Inactive NPI Male Practitioner

Dr. Mahendra K Misra , MD

Specialist • Edison, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mahendra Misra has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 17, 2007
NPI Deactivation Date March 20, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Mahendra Misra, MD was a registered Specialist practicing in Edison, NJ. Throughout an active medical career spanning 10 years, Dr. Misra provided care at the practice location at 80 JAMES ST until profile deactivation on 2017-03-20.

Practice Location & Contact Primary Location

Practice Address

80 James St
4th Floor

Edison, NJ 088203938

Telephone 7326321571
Fax 7326321644
Associated Practice Facility / Clinic
🏢 Community Hospital Group Inc Facility NPI 1225251754

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Edison, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 40.7 Yrs
State Avg: 35.6 Yrs
Regional Practice Density
43 Specialists

Practicing in Edison, NJ (1802 Statewide)

Telehealth Adoption Rate
4.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NJ 25MA07040300

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Merari Singh , APN

Nurse Practitioner

NPI 1013694595

Advanced Practice Nurse

Shriya Shah , APN

Nurse Practitioner

NPI 1043911761

Advanced Practice Nurse

NPI 1053585588

Doctor of Medicine (M.D.)

NPI 1073717450

Doctor of Medicine (M.D.)

Dr. Asif Bashir , MD

Neurological Surgery

NPI 1104021054

Doctor of Medicine (M.D.)

Cristina Corro , PA

Physician Assistant

NPI 1255931713

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 20, 2017

Record deactivated on March 20, 2017

NPI Profile Active December 04, 2013

NPI status registered as active in NPPES database

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Updated Practice Location December 04, 2013

Registered at 80 JAMES ST, 4TH FLOOR, EDISON, NJ 088203938 (Tel: 7326321571)

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Updated Business Mailing Address December 04, 2013

Registered at 80 JAMES ST, 4TH FLOOR, EDISON, NJ 088203938 (Tel: 7326321571)

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Provider Name / Credentials Updated December 04, 2013

Recorded as MAHENDRA MISRA, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2013

Specialist (License #25MA07040300 in NJ)

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Initial NPI Registration & Enumeration May 17, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114134434
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2007
Last Update: December 04, 2013
Deactivation Date: March 20, 2017

Mailing Address

80 James St, 4th Floor

Edison, NJ 088203938

Phone: 7326321571

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.