Individual
SHITAL MISTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
575 MAIN ST STE 201, HACKENSACK, NJ 07601-5987
(833) 377-8474
Mailing address
575 MAIN ST STE 201, HACKENSACK, NJ 07601-5987
(833) 377-8474
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01005800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
0
—
Enumeration date
01/23/2020
Last updated
09/24/2025
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