Individual provider Active NPI

Naveen Mehrotra, MD

  • Pediatrics Physician
  • Edison, NJ
National Provider Identifier
1295783025
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA64334 Issued in NJ
Practice address
652 Amboy Ave
Edison, NJ 08837-3559
Phone
(732) 738-1341
Fax
(732) 738-9585
NPI assigned
May 4, 2006
Last updated
Feb 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MA64334 NJ Primary

Addresses

Primary practice location

652 Amboy Ave
Edison, NJ 08837-3559

Mailing address

652 Amboy Ave
Edison, NJ 08837-3559
Phone (732) 819-8800

Other identifiers 1

IdentifierTypeStateIssuer
7504306MedicaidNJ

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
I20260512003763 NJ Practitioner - Pediatric Medicine 9830668508 Practice locations: Edison, NJ

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
State University of New York at Stony Brook, School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

652 Amboy Ave
Edison, NJ 08837-3559
Phone (732) 986-5307

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA64334NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Naveen Mehrotra, MD, PA Pediatrics Past Accepting new patients
Saint Peter's University Hospital Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19323/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4
  • Direct secure messaging: naveen.mehrotra.1@19323.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328227200000",
    "number": "1295783025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 AMBOY AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373559",
            "telephone_number": "732-819-8800",
            "fax_number": "732-819-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 AMBOY AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373559",
            "telephone_number": "732-738-1341",
            "fax_number": "732-738-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHROTRA",
        "first_name": "NAVEEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2012-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA64334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7504306",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.