Active NPI
Tejal Mehta
- Infectious Disease Physician
- Hillsborough, NJ
National Provider Identifier
1174787956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 25MA10956500
- Practice address
- 105 Raider Blvd Ste 101
Hillsborough, NJ 08844-1528 - Phone
- (908) 281-0221
- NPI assigned
- Jul 11, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 4301085728 | MI | |
| Infectious Disease Physician | 207RI0200X | 25MA10956500 | NJ | Primary |
Addresses
Primary practice location
105 Raider Blvd Ste 101
Hillsborough, NJ 08844-1528
Mailing address
901 McClintock Dr
Suite 202
Burr Ridge, IL 60527-0871
Phone (888) 220-6432
Other practice location 1
15474 N Haggerty Rd
Plymouth, MI 48170-4893
Phone (734) 335-6103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65152 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- The Weston Group Inc
Practice addresses (Care Compare)
105 Raider Blvd
Suite 101
Hillsborough, NJ 08844-1528
Phone (908) 281-0221
7745 Little Ave
Charlotte, NC 28226-8168
Phone (704) 541-9333
Hospital & facility affiliations
- Monmouth Medical Center
- Monmouth Medical Center-Southern Campus
- Jersey Shore University Medical Center
- Ocean Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301085728 | MI | MD | Infectious Disease Physician |
| 25MA10956500 | NJ | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Id Care LLC | Infectious Disease | Current | Accepting new patients |
| Infectious Disease Center, P.C. | Infectious Disease | Past | Accepting new patients |
Locations
105 Raider Blvd
Ste 101
Hillsborough, NJ 08844
Phone (908) 281-0221
Organizations & group practices 2
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.
-
- Infectious Disease Physician
- Hillsborough, NJ
- NPI 1639146277
-
- Infectious Disease Physician
- Farmington Hills, MI
- NPI 1629095534
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brick, NJ
- NPI 1477065126
-
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
-
- General Acute Care Hospital
- Lakewood, NJ
- NPI 1225133473
-
- General Acute Care Hospital
- Long Branch, NJ
- NPI 1609983790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608163200000",
"number": "1174787956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 MCCLINTOCK DR",
"address_2": "SUITE 202",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605270871",
"telephone_number": "888-220-6432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 RAIDER BLVD STE 101",
"city": "HILLSBOROUGH",
"state": "NJ",
"postal_code": "088441528",
"telephone_number": "908-281-0221"
}
],
"practiceLocations": [
{
"address_1": "15474 N Haggerty Rd",
"address_purpose": "LOCATION",
"city": "Plymouth",
"state": "MI",
"postal_code": "481704893",
"country_code": "US",
"telephone_number": "734-335-6103",
"fax_number": "734-404-5317",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEHTA",
"first_name": "TEJAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-11",
"last_updated": "2020-12-17",
"certification_date": "2020-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "MI",
"license": "4301085728",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NJ",
"license": "25MA10956500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65152",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hillsborough, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.