Harendra Umangla Mehta, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

25MA04453100 Issued in NJ

Practice address

308 Willow Ave
Hoboken, NJ 07030-3808

Phone

(201) 418-2065

NPI assigned

Jul 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: harendra.mehta@direct.hackensackmeridian.org

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.

• Community Hospital Group, Inc

  • Cardiovascular Disease Physician
  • Edison, NJ
  • NPI 1467670224
  NPD (past)
• Hoboken Emergency Physicians, PC

  • Emergency Medicine Physician
  • Hoboken, NJ
  • NPI 1942287883
  NPD (past)

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211068800000",
    "number": "1104824028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CAMBRIDGE DR",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070672603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 WILLOW AVE",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070303808",
            "telephone_number": "201-418-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "HARENDRA",
        "middle_name": "UMANGLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2008-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA04453100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6351506",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George E. McQuilkin, M.D.
• John Mead, MD
• Medicine Man RX LLC
• Courtney Medina
• Judith Meer, PT, DPT, CSCS
• Harshna Mehta, M.D.
• Ragini Mehta, D.O.
• Clarice Mary Melanson, DO
• Emanuel Melendez Jr., MSW, LCSW
• Marc L Melnick, DDS

• Emergency Medicine Physician in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Emergency Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.