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

Individual provider Family Medicine Physician · NPI 1669663217

Nirandra Mahamitra, MD is a Family Practice in Haddon Heights, New Jersey. Qualified in 2004, 22 years ago. Practices with Cooper Family Medicine PC, a 116-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
22
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

504 White Horse Pike
Haddon Heights, NJ 08035
Phone: (856) 546-7990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 141 S Black Horse Pike, Blackwood, NJ 08012-2975 — (856) 232-6471

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MA082818 (NJ)

Record details

NPI number1669663217
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 8, 2007
Last updated in NPPESSeptember 12, 2019
Mailing address1 Federal St # 200, Camden, NJ 08103-1088

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Cooper Family Medicine Pc — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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