Organization Active NPI

Jay K. Mehlman, MD, PC

  • Gastroenterology Physician
  • Rockaway Park, NY
National Provider Identifier
1326204694
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
201048 Issued in NY
Legal business name
JAY K. MEHLMAN, MD, PC
Practice address
11412 Beach Channel Dr Ste 10
Rockaway Park, NY 11694-2212
Phone
(718) 318-0800
Fax
(718) 318-0440
NPI assigned
Aug 5, 2008
Last updated
Feb 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Dr. Jay Kenneth Mehlman, M.D.NPI 1649251885
Title
President
Phone
(718) 318-0800

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
Gastroenterology Physician 207RG0100X 201048 NY Primary

Addresses

Primary practice location

11412 Beach Channel Dr Ste 10
Rockaway Park, NY 11694-2212

Mailing address

949 Northfield Rd
Woodmere, NY 11598-1663
Phone (718) 318-0800

Other practice location 1

270 Doughty Blvd
Inwood, NY 11096-1367
Phone (516) 295-2640

Other identifiers 1

IdentifierTypeStateIssuer
02115704MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080805000216 NY Part B Supplier - Clinic/Group Practice 9436223716 Receives reassigned benefits from 1 practitioner
Practice locations: Inwood, NY; Rockaway Park, NY

National Provider Directory

National Provider Directory

Locations

270 Doughty Blvd
Inwood, NY 11096
Phone (516) 239-5959

11412 Beach Channel Dr
Ste 10
Rockaway Park, NY 11694
Phone (718) 318-0800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1326204694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 NORTHFIELD RD",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981663",
            "telephone_number": "718-318-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11412 BEACH CHANNEL DR STE 10",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942212",
            "telephone_number": "718-318-0800",
            "fax_number": "718-318-0440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 Doughty Blvd",
            "address_purpose": "LOCATION",
            "city": "Inwood",
            "state": "NY",
            "postal_code": "110961367",
            "country_code": "US",
            "telephone_number": "516-295-2640",
            "fax_number": "718-318-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAY K. MEHLMAN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "MEHLMAN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-318-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "201048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02115704",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.