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

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

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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