Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ajay Misra, MD

Individual provider Specialist · NPI 1508832148

Ajay Misra, MD is a Specialist in Massapequa, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

880 N Broadway
Massapequa, NY 11758-2351
Phone: (516) 541-0300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 189741 (NY)

Record details

NPI number1508832148
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 24, 2006
Last updated in NPPESMarch 1, 2021
Certification dateMarch 1, 2021
Mailing address880 N Broadway, Massapequa, NY 11758-2351

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