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NPISignal

Individual Healthcare Provider

Kira Mitchell

NPI Record: ActiveSurgery
NPI1477431096
Secaucus, New Jersey

Provider's NPPES record last updated: September 8, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1477431096
Primary Specialty
Surgery
Practice Location
Secaucus, New Jersey
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 1:03 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Surgery

    Allopathic & Osteopathic Physicians

    Primary

    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

    Taxonomy code 208600000X
  • Physician Assistant

    Physician Assistants & Advanced Practice Nursing Providers

    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

    Taxonomy code 363A00000X

Provider-Reported License Information

Surgery (New Jersey)
25MP00959900
Physician Assistant (New Jersey)
25MP00959900
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

55 Meadowlands Pkwy

Secaucus, New Jersey 07094-2977

Phone: (201) 392-3100

Additional Practice Location

35 Ackerman Ave

Clifton, New Jersey 07011-1501

Phone: (973) 928-2880

Fax: (973) 928-2881

Record Information

Enumeration Date
August 22, 2025
Provider's NPPES Record Last Updated
September 8, 2026
Certification Date
September 8, 2026
NPISignal NPPES Dataset
August 2026

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