NPIMap

Individual provider Active NPI

Prem S. Mehta, MD

  • Anesthesiology Physician
  • Nyack, NY
National Provider Identifier
1013181023
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
245503 Issued in NY
Practice address
160 N Midland Ave
Nyack Hospital
Nyack, NY 10960-1912
Phone
(845) 348-2862
NPI assigned
Apr 22, 2008
Last updated
Apr 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 245503 NY Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 245503 NY

Addresses

Primary practice location

160 N Midland Ave
Nyack Hospital
Nyack, NY 10960-1912

Mailing address

43 Kensico Dr
2ND Floor
Mount Kisco, NY 10549-1009
Phone (914) 666-8866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080708000311 NY Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Addiction Medicine 3779655725 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Addiction Medicine, Interventional Pain Management
Education
Medical College of Wisconsin, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

530 1St Ave
New York, NY 10016-6402

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-6037

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
245503NYMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Side Gi, LLC CurrentSince Apr 5, 2025 Accepting new patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince Nov 1, 2017 Accepting new patients
New York University CurrentSince Dec 4, 2024 Accepting new patients
Yellow Hook Medical PC Anesthesiology CurrentSince Nov 15, 2024 Accepting new patients
New York University Anesthesiology Current Accepting new patients
Ramapo Anesthesiologists, PC Anesthesiology CurrentSince Jan 30, 2023 Accepting new patients
New York University Anesthesiology CurrentSince Dec 4, 2024 Accepting new patients
Park Avenue Anesthesia PLLC Anesthesiology Past Accepting new patients

Locations

480 Bedford Rd
Ste 4202
Chappaqua, NY 10514
Phone (914) 244-8762

128 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 245-8936

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

118 N Bedford Rd
Ste 200
Mount Kisco, NY 10549
Phone (800) 362-6220

619 W 54th St
Fl 8
New York, NY 10019
Phone (212) 889-3142

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

160 N Midland Ave
Fl 5
Nyack, NY 10960
Phone (845) 348-2243

974 Route 45
Pomona, NY 10970
Phone (845) 354-1113

9785 Queens Blvd
Rego Park, NY 11374
Phone (631) 360-0266

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

233 Lafayette Ave
Ste LL5
Suffern, NY 10901
Phone (914) 794-7741

2 Medical Park Dr
Ste 14
West Nyack, NY 10994
Phone (845) 362-3300

Interoperability endpoints

  • Direct secure messaging: pmehta682426@nyumc.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1013181023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 KENSICO DR",
            "address_2": "2ND FLOOR",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105491009",
            "telephone_number": "914-666-8866",
            "fax_number": "914-666-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N MIDLAND AVE",
            "address_2": "NYACK HOSPITAL",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601912",
            "telephone_number": "845-348-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "PREM",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "245503",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "245503",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nyack, NY

Sources for this page

Verify at the official NPI Registry.