Individual provider Active NPI

Rita U Goradia, MD

  • Family Medicine Physician
  • Rahway, NJ
National Provider Identifier
1174626774
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA067142 Issued in NJ
Practice address
1128 Bryant Street
Rahway, NJ 07065
Phone
(732) 388-3006
Fax
(732) 388-9878
NPI assigned
Sep 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA067142 NJ Primary

Addresses

Primary practice location

1128 Bryant Street
Rahway, NJ 07065

Mailing address

1128 Bryant Street
Rahway, NJ 07065
Phone (732) 388-3006

Other identifiers 1

IdentifierTypeStateIssuer
8202206MedicaidNJ

Other names 1

  • Rita H Mehta Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091217000121 NJ Practitioner - Family PracticePractitioner - Internal Medicine 7113067489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rita U. Goradia, MDPCGroup PAC ID 0749320018, 2 clinicians

Practice addresses (Care Compare)

1003 Saint Georges Ave
Rahway, NJ 07065-2630
Phone (732) 388-3006

700 N Broad St
Elizabeth, NJ 07208-2310
Phone (908) 469-1500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA067142NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rita U. Goradia, M.D. P.C. Family Medicine CurrentSince Apr 29, 2009 Accepting new patients
Ashbrook Care & Rehabilitation Center LLC Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Trinitas Regional Medical Center Past Accepting new patients
Medical Care Associates LLC Past Accepting new patients

Locations

700 N Broad St
Elizabeth, NJ 07208
Phone (908) 352-6868

1003 Saint Georges Ave
Rahway, NJ 07065
Phone (732) 388-3006

1128 Bryant St
Rahway, NJ 07065
Phone (732) 388-3006

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174626774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 BRYANT STREET",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "07065",
            "telephone_number": "732-388-3006",
            "fax_number": "732-388-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 BRYANT STREET",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "07065",
            "telephone_number": "732-388-3006",
            "fax_number": "732-388-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORADIA",
        "first_name": "RITA",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA067142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8202206",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RITA",
            "last_name": "MEHTA",
            "middle_name": "H",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rahway, NJ

Sources for this page

Verify at the official NPI Registry.