Provider Demographics
NPI:1750361671
Name:MISHRA, ARUNESH KUMAR (MD)
Entity type:Individual
Prefix:DR
First Name:ARUNESH
Middle Name:KUMAR
Last Name:MISHRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 COLONY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:SAYREVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08872-2701
Mailing Address - Country:US
Mailing Address - Phone:732-353-6326
Mailing Address - Fax:
Practice Address - Street 1:530 NEW BRUNSWICK AVE
Practice Address - Street 2:
Practice Address - City:PERTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08861-3674
Practice Address - Country:US
Practice Address - Phone:732-442-3700
Practice Address - Fax:732-324-5139
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA078544002084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJJ37501OtherHEALTHNET
NJP00254213OtherRAILROAD MEDICARE
NJP3617783OtherOXFORD
NJ7192384OtherAETNA (HMO/PPO)
NJ7192384OtherAETNA (HMO/PPO)
NJJ37501OtherHEALTHNET