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

Mira Chakravarty, MD

Individual provider Specialist · NPI 1073719258

Mira Chakravarty, MD is a Diagnostic Radiology in Edison, New Jersey. Qualified in 1972, 54 years ago. Practices with The New Jersey Imaging Network, LLC, a 69-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
54
Licensed in
NJ
In the registry since
2007
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

3840 Park Ave Ste C
Edison, NJ 08820
Phone: (732) 494-9061
Fax: (732) 494-5571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 25MA03783000 (NJ)

Record details

NPI number1073719258
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 25, 2007
Last updated in NPPESFebruary 5, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1972 (54 years in practice)
Group practice The New Jersey Imaging Network, Llc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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