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

Shilpa T Mistry, PA

Individual provider Physician Assistant · NPI 1407951122

Shilpa T Mistry, PA is a Physician Assistant in New Haven, Connecticut. Qualified in 2005, 21 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
21
Licensed in
CT
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

20 York St Cb 2041 Ynh Medical Services Pc
New Haven, CT 06510
Phone: (203) 688-4748
Fax: (203) 688-4740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 001709 (CT)
Physician Assistant Taxonomy 363A00000X · Licence 001709 (CT)

Record details

NPI number1407951122
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 14, 2006
Last updated in NPPESFebruary 1, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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