IndividualActive
Prem Misra, MD
NPI 1366443863 · Gastroenterology Physician · Forest Hills, NY
Provider details
- NPI number
- 1366443863
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- License
- 109522 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11247 Queens Blvd
Ste 108
Forest Hills, NY 11375-7417
Phone: (718) 793-3838
Fax: (516) 352-2025
Street-level locationGet directions
Mailing address
115 Cherrywood Dr
New Hyde Park, NY 11040-2209
Registry dates
- Enumerated
- 2005-08-09
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.