Individual provider · Type 1 NPI
Padama Misra, AGNP-C
Gerontology Nurse Practitioner · Montclair, NJ
NPI number
1750133039
Active
Practice location
28 Valley Rd # 148
Montclair, NJ 07042-2709
Fax (855) 998-4358
Mailing address
1 Oakey Dr
Kendall Park, NJ 08824-1625
Other practice locations
- 1 Oakey Dr, Kendall Park, NJ 08824-1625 · (917) 617-5488
- 1 Oakey Dr, Kendall Park, NJ 08824-1625 · (917) 617-5488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 26NJ15009300 (NJ) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1750133039
Padama Misra, AGNP-C's National Provider Identifier is 1750133039, issued on Apr 2, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Montclair, NJ. The record was last updated on Jun 26, 2025.