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

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X26NJ15009300 (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.