Active NPI
Rajan Mehra
- Specialist
- Brooklyn, NY
National Provider Identifier
1073854899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 1715 Avenue T
Brooklyn, NY 11229-3404 - Phone
- (718) 232-6348
- NPI assigned
- Mar 4, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary | ||
| Surgical Technologist | 246ZS0410X |
Addresses
Primary practice location
1715 Avenue T
Brooklyn, NY 11229-3404
Mailing address
24604 85TH Ave
Bellerose, NY 11426-2136
Phone (718) 413-4377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362355200000",
"number": "1073854899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24604 85TH AVE",
"city": "BELLEROSE",
"state": "NY",
"postal_code": "114262136",
"telephone_number": "718-413-4377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 AVENUE T",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112293404",
"telephone_number": "718-232-6348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHRA",
"first_name": "RAJAN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-04",
"last_updated": "2013-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.