NPIMap

Organization Active NPI

Naveen Mehrotra, MD, PA

  • Pediatrics Physician
  • Edison, NJ
National Provider Identifier
1063784841
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA64334 Issued in NJ
Legal business name
NAVEEN MEHROTRA, MD, PA
Practice address
652 Amboy Ave
Edison, NJ 08837-3559
Phone
(732) 738-1341
Fax
(732) 738-9585
NPI assigned
Feb 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Dr. Naveen Mehrotra, MDNPI 1295783025
Title
Ceo
Phone
(732) 819-8800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X MA64334 NJ Primary

Addresses

Primary practice location

652 Amboy Ave
Edison, NJ 08837-3559

Mailing address

652 Amboy Ave
Edison, NJ 08837-3559
Phone (732) 819-8800

Other identifiers 1

IdentifierTypeStateIssuer
7504306MedicaidNJ

National Provider Directory

National Provider Directory

Locations

652 Amboy Ave
Edison, NJ 08837
Phone (732) 634-7788

171 Elmora Ave
Fl 3
Elizabeth, NJ 07202
Phone (908) 289-2239

550 Newark Ave
Ste 305
Jersey City, NJ 07306
Phone (201) 963-2320

330 Livingston Ave
Ste 4
New Brunswick, NJ 08901
Phone (732) 545-9878

1555 Ruth Rd
Ste 4
North Brunswick, NJ 08902

1555 Ruth Rd
North Brunswick, NJ 08902
Phone (732) 821-9200

3099 Highway 516
Ste C
Old Bridge, NJ 08857

666 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 630-0017

381 Chestnut St
Ste 4
Union, NJ 07083
Phone (908) 688-8007

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19323/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1063784841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 AMBOY AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373559",
            "telephone_number": "732-819-8800",
            "fax_number": "732-819-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 AMBOY AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373559",
            "telephone_number": "732-738-1341",
            "fax_number": "732-738-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVEEN MEHROTRA, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "MEHROTRA",
        "authorized_official_first_name": "NAVEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-819-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA64334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7504306",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.