Active NPI
Satish R Mehta, MD
- Pulmonary Disease Physician
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 25MA03829100
- Practice address
- 194 Clinton Ave FL 2
Newark, NJ 07108-2809 - Phone
- (973) 273-1515
- Fax
- (973) 230-0883
- NPI assigned
- Sep 6, 2006
- Reactivated
- Jul 23, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA03829100 | NJ | |
| Pulmonary Disease Physician | 207RP1001X | 25MA03829100 | NJ | Primary |
Addresses
Primary practice location
194 Clinton Ave FL 2
Newark, NJ 07108-2809
Mailing address
40 Dartmoor Rd
East Hanover, NJ 07936-3912
Phone (973) 273-1515
Other practice location 1
707 S Orange Ave
South Orange, NJ 07079-2698
Phone (973) 762-4746
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3275001 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
60 Evergreen PL
Suite 400
East Orange, NJ 07018-2120
Phone (973) 395-1550
707 S Orange Ave
South Orange, NJ 07079-2698
Phone (973) 762-4746
Hospital & facility affiliations
- Carewell Health Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03829100 | NJ | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essex Medical Care LLC | Internal Medicine | Current | Accepting new patients |
| Avedamed LLC | Internal Medicine | Current | Accepting new patients |
| Satish Mehta M.D., P.a. | Pulmonary Disease | Current | Accepting new patients |
| Satish R Mehta MD PA | Internal Medicine | Current | Accepting new patients |
| Clinton Medical Associates PA | Internal Medicine | Past | Accepting new patients |
Locations
194 Clinton Ave
Fl 2
Newark, NJ 07108
Phone (973) 273-1515
835 Clinton Ave
Newark, NJ 07108
Phone (973) 399-3323
60 Baldwin Rd
Ste 102
Parsippany, NJ 07054
Phone (973) 500-6860
707 S Orange Ave
South Orange, NJ 07079
Phone (973) 761-1140
Interoperability endpoints
- https://api.platform.athenahealth.com/23475/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Cardiovascular Disease Physician
- East Orange, NJ
- NPI 1477532588
-
- Internal Medicine Physician
- South Orange, NJ
- NPI 1093698946
-
- Pulmonary Disease Physician
- So Orange, NJ
- NPI 1386751410
-
- Internal Medicine Physician
- Maplewood, NJ
- NPI 1538432786
-
- Internal Medicine Physician
- South Orange, NJ
- NPI 1295747871
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- East Orange, NJ
- NPI 1013386143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613088000000",
"number": "1366545402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 DARTMOOR RD",
"city": "EAST HANOVER",
"state": "NJ",
"postal_code": "079363912",
"telephone_number": "973-273-1515",
"fax_number": "973-230-0883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 CLINTON AVE FL 2",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071082809",
"telephone_number": "973-273-1515",
"fax_number": "973-230-0883"
}
],
"practiceLocations": [
{
"address_1": "707 S Orange Ave",
"address_purpose": "LOCATION",
"city": "South Orange",
"state": "NJ",
"postal_code": "070792698",
"country_code": "US",
"telephone_number": "973-762-4746",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEHTA",
"first_name": "SATISH",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2021-02-12",
"certification_date": "2021-02-12",
"deactivation_date": "2008-04-23",
"reactivation_date": "2008-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA03829100",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "25MA03829100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3275001",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.