PADAMA MISRA AGNP-C
NPI 1750133039
Nurse Practitioner - Gerontology in Montclair, NJ

Q: What is Padama Misra's NPI number?

The NPI number for Padama Misra is 1750133039. It was assigned to this individual provider in the NPPES registry on April 2, 2024.

Q: What is Padama Misra's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Padama Misra was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since April 02, 2024PECOS Enrolled

28 VALLEY RD # 148, MONTCLAIR, NJ 07042(973) 559-4600(855) 998-4358 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2025, Apr 2, 2024 (2 updates tracked since 2024).

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About Padama Misra Agnp-c NPPES

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

PADAMA MISRA AGNP-C (NPI 1750133039) is an individual gerontology provider in Montclair, New Jersey, licensed in New Jersey (26NJ15009300) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kendall Park, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1750133039

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NamePADAMA MISRACredential: AGNP-C

Location Address28 VALLEY RD # 148Montclair, NJ 07042-2709

Mailing Address1 Oakey DrKendall Park, NJ 08824-1625 · (917) 617-5488

Phone(973) 559-4600

Fax(855) 998-4358

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 2, 2024

Last NPPES UpdateJune 26, 20252 updates tracked since enumeration

NPPES CertifiedJune 26, 2025

✔ NPI 1750133039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in NJ · 26NJ15009300

28 VALLEY RD # 148, Montclair, NJ 07042

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Secondary Practice Location 1

Location 11 Oakey DrKendall Park, NJ 08824-1625 · Phone (917) 617-5488

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Padama Misra Agnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688013642

PECOS Enrollment IDI20250707001746

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MRS. MICHELLE GILES-HONORE APN

Nurse Practitioner (Family)