Active NPI
Karan Mehta, M.D.
- Plastic Surgery Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 308077
- Practice address
- 635 Madison Ave FL 17
New York, NY 10022-1009 - Phone
- (929) 294-7706
- NPI assigned
- Apr 22, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 308077 | NY | Primary |
Addresses
Primary practice location
635 Madison Ave FL 17
New York, NY 10022-1009
Mailing address
21 Kalda Ave
New Hyde Park, NY 11040-1801
Phone (516) 220-0219
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 308077 | NY | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karan Mehta MD PC | Current | Accepting new patients |
Locations
101 Saint Andrews Ln
Glen Cove, NY 11542
Phone (516) 674-7300
100 E 77th St
New York, NY 10075
Phone (212) 434-2606
635 Madison Ave
Fl 17
New York, NY 10022
Phone (212) 717-0231
27005 76th Ave
North New Hyde Pk, NY 11040
300 Community Dr
Plandome, NY 11030
Interoperability endpoints
- kmehta68024@northwell.direct-ci.com
Organizations & group practices 1
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.
-
- Plastic and Reconstructive Surgery Physician
- New York, NY
- NPI 1609642750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1346637899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 KALDA AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110401801",
"telephone_number": "516-220-0219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 MADISON AVE FL 17",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221009",
"telephone_number": "929-294-7706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "KARAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-22",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NY",
"license": "308077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.