Dr Paul Misthos, MD - Medicare Internal Medicine in Paterson, NJ

Dr Paul Misthos, MD is a medicare enrolled "Internal Medicine" physician in Paterson, New Jersey. He went to State University Of New York At Buffalo School Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Summit Medical Group Pa and his current practice location is 100 Hamilton Plz, Third Floor, Paterson, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 278-6254.

Dr Paul Misthos is licensed to practice in New Jersey (license number 49147) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1982645610.

Contact Information

Dr Paul Misthos, MD
100 Hamilton Plz, Third Floor,
Paterson, NJ 07505-2109
(973) 278-6254
Not Available

Map and Direction




Physician's Profile

Full NameDr Paul Misthos
GenderMale
SpecialityInternal Medicine
Experience40 Years
Location100 Hamilton Plz, Paterson, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Paul Misthos attended and graduated from State University Of New York At Buffalo School Of Medicine in 1984
  NPI Data:
  • NPI Number: 1982645610
  • Provider Enumeration Date: 06/10/2006
  • Last Update Date: 07/24/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4082856422
  • Enrollment ID: I20160916001634

Medical Identifiers

Medical identifiers for Dr Paul Misthos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982645610NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 49147 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group Pa53956422761247

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Paul Misthos allows following entities to bill medicare on his behalf.
Entity NameSummit Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011
Entity NameCity Medical Of New Jersey Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568858686
PECOS PAC ID: 6406161306
Enrollment ID: O20150821013274

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Paul Misthos is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Paul Misthos, MD
328 W Saint Georges Ave,
Linden, NJ 07036-5638

Ph: (908) 925-7519
Dr Paul Misthos, MD
100 Hamilton Plz, Third Floor,
Paterson, NJ 07505-2109

Ph: (973) 278-6254

Reviews and Comments


Internal Medicine Doctors in Paterson, NJ

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Dr. Haris Kalatoudis, M.D.
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.