Individual provider Active NPI

Jignesh D Mehta, RPH

  • Pharmacist
  • Linden, NJ
National Provider Identifier
1336728765
Registry record updated Apr 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02468900 Issued in NJ
Practice address
937 S Wood Ave
Linden, NJ 07036-4567
Phone
(908) 862-4444
Fax
(908) 862-6044
NPI assigned
Apr 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02468900 NJ Primary

Addresses

Primary practice location

937 S Wood Ave
Linden, NJ 07036-4567

Mailing address

937 S Wood Ave
Linden, NJ 07036-4567
Phone (908) 862-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI02468900NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
937 Southwood LLC Current Accepting new patients
Iselin Surgicare LLC Current Accepting new patients

Locations

937 S Wood Ave
Linden, NJ 07036
Phone (908) 862-4444

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.

NPI Registry JSON

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

{
    "created_epoch": "1617494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617494400000",
    "number": "1336728765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 S WOOD AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364567",
            "telephone_number": "908-862-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 S WOOD AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364567",
            "telephone_number": "908-862-4444",
            "fax_number": "908-862-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "JIGNESH",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-04",
        "last_updated": "2021-04-04",
        "certification_date": "2021-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02468900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.