Active NPI
Jay K. Mehlman, MD, PC
- Gastroenterology Physician
- Rockaway Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 201048
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02115704 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Gastroenterology Physician
- Rockaway Park, NY
- NPI 1649251885
-
- Anesthesiology Physician
- Flushing, NY
- NPI 1760418727
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.