Organization Active NPI

Satish R Mehta MD PA

  • Pulmonary Disease Physician
  • Newark, NJ
National Provider Identifier
1083891386
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MA38291 Issued in NJ
Legal business name
SATISH R MEHTA MD PA
Practice address
194 Clinton Ave
Newark, NJ 07108-2809
Phone
(973) 273-1515
Fax
(973) 230-0883
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Authorized official

Name
Frank Abion
Title
Office Manager
Phone
(973) 350-6411

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MA38291 NJ
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X MA38291 NJ Primary

Addresses

Primary practice location

194 Clinton Ave
Newark, NJ 07108-2809

Mailing address

40 Dartmoor Rd
East Hanover, NJ 07936-3912
Phone (973) 273-1515

Other identifiers 1

IdentifierTypeStateIssuer
3275001MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101112000430 NJ Part B Supplier - Clinic/Group Practice 9234179631 Receives reassigned benefits from 2 practitioners
Practice locations: Newark, NJ; South Orange, NJ

National Provider Directory

National Provider Directory
Tax ID family
Satish Mehta MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1083891386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 DARTMOOR RD",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363912",
            "telephone_number": "973-273-1515",
            "fax_number": "973-230-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 CLINTON AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071082809",
            "telephone_number": "973-273-1515",
            "fax_number": "973-230-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATISH R MEHTA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "ABION",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-350-6411"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA38291",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "MA38291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3275001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.