NPIMap

Individual provider Active NPI

Rajneesh G Mehta, M.D.

  • Internal Medicine Physician
  • Ocean, NJ
National Provider Identifier
1063619294
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08438200 Issued in NJ
Practice address
1300 Hwy 35
Suite 204
Ocean, NJ 07712-3537
Phone
(732) 531-1894
Fax
(732) 531-1897
NPI assigned
Jun 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08438200 NJ Primary

Addresses

Primary practice location

1300 Hwy 35
Suite 204
Ocean, NJ 07712-3537

Mailing address

1300 Hwy 35
Suite 204
Ocean, NJ 07712-3537
Phone (732) 531-1894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20081230000067 NJ Practitioner - Internal Medicine 3072675057 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rwjbh Primary Care ServicesGroup PAC ID 0749699346, 266 clinicians

Practice addresses (Care Compare)

8 Mountain Blvd
Warren, NJ 07059-2638

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rwjbh Primary Care Services Internal Medicine CurrentSince Oct 2, 2021 Accepting new patients
West Park Medical LLC Internal Medicine Past Accepting new patients

Locations

25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262

1300 State Route 35
Unit 204
Ocean, NJ 07712
Phone (732) 531-1894

3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

Interoperability endpoints

  • Direct secure messaging: rmehta46055@epicdirect.rwjbh.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Jersey Shore Skilled Nursing and Rehabilitation CenterJersey Shore, PA, CCN 395359 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 19, 2025
Feb 19, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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

Hospital & facility affiliations 10

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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1063619294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 HWY 35",
            "address_2": "SUITE 204",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123537",
            "telephone_number": "732-531-1894",
            "fax_number": "732-531-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HWY 35",
            "address_2": "SUITE 204",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123537",
            "telephone_number": "732-531-1894",
            "fax_number": "732-531-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "RAJNEESH",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08438200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

Verify at the official NPI Registry.