Individual provider Active NPI

Satish R Mehta, MD

  • Pulmonary Disease Physician
  • Newark, NJ
National Provider Identifier
1366545402
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25MA03829100 Issued in NJ
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

Updated by the provider on Feb 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3275001MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101112000483 NJ Practitioner - Internal MedicinePractitioner - Pulmonary Disease 2466647797 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Heart Center of the OrangesGroup PAC ID 7517950645, 41 clinicians

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 Hospital, East Orange, NJ, CCN 310083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA03829100NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Essex Medical Care LLC Internal Medicine CurrentSince Feb 1, 2026 Accepting new patients
Avedamed LLC Internal Medicine CurrentSince May 2, 2022 Accepting new patients
Satish Mehta M.D., P.a. Pulmonary Disease CurrentSince Feb 14, 2021 Accepting new patients
Satish R Mehta MD PA Internal Medicine CurrentSince Jan 1, 1989 Accepting new patients
Clinton Medical Associates PA Internal Medicine PastSince May 2, 2022 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

  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.