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AMIT C MISRA MD
NPI 1104060102
Pediatrics - Pediatric Critical Care Medicine in Long Branch, NJ

Active since April 22, 2009PECOS Enrolled
300 SECOND AVENUE, LONG BRANCH, NJ 07740(732) 923-8600 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 19, 2025, Oct 24, 2022 (2 updates tracked since 2022).

About Amit C Misra Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMIT C MISRA MD (NPI 1104060102) is an individual pediatric critical care medicine provider in Long Branch, New Jersey, licensed in New Jersey (25MA09761800) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104060102
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameAMIT C MISRACredential: MD
Location Address300 SECOND AVENUELong Branch, NJ 07740
Mailing Address300 2nd AveLong Branch, NJ 07740-6303 · (732) 923-8600
Phone(732) 923-8600
Sole ProprietorYes
Enumeration DateApril 22, 2009
Last NPPES UpdateJune 19, 20252 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1104060102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Licenses✔ Licensed in NJ · 25MA09761800✔ Licensed in FL · ME128883✔ Licensed in AZ · 46846
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
300 SECOND AVENUE, Long Branch, NJ 07740
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Secondary Practice Locations 2

Location 1841 Prudential Dr Ste 280Jacksonville, FL 32207-8329 · Phone (904) 202-8550 · Fax (904) 393-7808
Location 21200 N Beaver StFlagstaff, AZ 86001-3118 · Phone (928) 773-2112

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amit C Misra Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Amit Misra reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Stc Pediatrics LLC
47 mi
Pediatrics
680 HEACOCK RD STE 200
Yardley, PA 19067
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 479 clinicians in this Medicare group
NPI 1811532518 (215) 493-6519
Banner Physician Super Specialists Arizona LLC
2,125 mi
Multi-Specialty
37100 N GANTZEL RD STE 214
San Tan Valley, AZ 85140
  • Reassigned Medicare billing, Arizona enrollment
  • 188 clinicians in this Medicare group
NPI 1396014403 (480) 412-9400
Pokroy Medical Group Of Nevada, Ltd.
2,246 mi
Neonatal-Perinatal Medicine
653 N TOWN CENTER DR STE 112
Las Vegas, NV 89144
  • Reassigned Medicare billing, Nevada enrollment
  • 150 clinicians in this Medicare group
NPI 1992809412 (702) 733-0981

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JONATHAN MICHAEL DECKER DO
Student in an Organized Health Care Education/Training Program
300 SECOND AVENUE
LONG BRANCH, NJ 07740
Monmouth County (215) 622-4593
MATTHEW KLEIN MD
Anesthesiology
300 SECOND AVENUE, MONMOUTH MEDICAL CENTER
LONG BRANCH, NJ 07740
Monmouth County (732) 222-5200
MICHELE R ARAGNO CRNA
Nurse Anesthetist, Certified Registered
300 SECOND AVENUE
LONG BRANCH, NJ 07740
Monmouth County (732) 222-5200
WENDY T SHERTZ-DIPIETRO MD
Pathology (Anatomic Pathology & Clinical Pathology)
300 SECOND AVENUE, MONMOUTH MEDICAL CENTER DEPT OF PATHOLOGY
LONG BRANCH, NJ 07740
Monmouth County (732) 229-8711
CLIFF HELLMERS
Nurse Anesthetist, Certified Registered
300 SECOND AVENUE
LONG BRANCH, NJ 07740
Monmouth County (732) 222-5200
MAHRUKH ALI KHAN MD
Student in an Organized Health Care Education/Training Program
300 SECOND AVENUE
LONG BRANCH, NJ 07740
Monmouth County (315) 335-6447

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amit Misra's NPI number?

The NPI number for Amit Misra is 1104060102. It was assigned to this individual provider in the NPPES registry on April 22, 2009.

Where is Amit Misra located?

Amit Misra practices at 300 Second Avenue, Long Branch, NJ 07740. The listed phone number is (732) 923-8600.

What is Amit Misra's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Amit Misra enrolled in Medicare?

Yes. Amit Misra is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amit Misra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amit Misra reassigns Medicare benefits to 3 organizations: Stc Pediatrics LLC (Yardley, PA), Banner Physician Super Specialists Arizona LLC (San Tan Valley, AZ) and Pokroy Medical Group Of Nevada, Ltd. (Las Vegas, NV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amit Misra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amit Misra accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Oscar Health Plan, Inc. list Amit Misra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amit Misra was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.