NPIMap

Organization Active NPI

Amor Mehta MD - Neurology Center for Epilepsy and Seizures, LLC

  • Epilepsy Physician
  • Marlboro, NJ
National Provider Identifier
1174006233
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Epilepsy PhysicianTaxonomy code 2084E0001X
Legal business name
AMOR MEHTA MD - NEUROLOGY CENTER FOR EPILEPSY AND SEIZURES, LLC
Practice address
479 County Road 520
Suite 101-B, Building B
Marlboro, NJ 07746-1085
Phone
(732) 856-5999
Fax
(732) 800-0662
NPI assigned
Sep 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Dr. Amor Ruyintan Mehta, MDNPI 1558566471
Title
President and Ceo
Phone
(732) 856-5999

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
Epilepsy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084E0001X Primary

Addresses

Primary practice location

479 County Road 520
Suite 101-B, Building B
Marlboro, NJ 07746-1085

Mailing address

479 County Road 520
Suite 101-B, Building B
Marlboro, NJ 07746-1085
Phone (732) 856-5999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181207001183 NJ Part B Supplier - Clinic/Group Practice 7911241542 Receives reassigned benefits from 13 practitioners
Practice locations: Marlboro, NJ

National Provider Directory

National Provider Directory

Locations

479 County Road 520
Ste B101
Marlboro, NJ 07746
Phone (732) 800-4587

280 US Highway 9
Ste 7
Morganville, NJ 07751
Phone (732) 856-5999

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1174006233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 COUNTY ROAD 520",
            "address_2": "SUITE 101-B, BUILDING B",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461085",
            "telephone_number": "732-856-5999",
            "fax_number": "732-800-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 COUNTY ROAD 520",
            "address_2": "SUITE 101-B, BUILDING B",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461085",
            "telephone_number": "732-856-5999",
            "fax_number": "732-800-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMOR MEHTA MD - NEUROLOGY CENTER FOR EPILEPSY AND SEIZURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "AMOR",
        "authorized_official_middle_name": "RUYINTAN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "732-856-5999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084E0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.