Organization Active NPI

Satish Mehta M.D., P.a.

  • Pulmonary Disease Physician
  • So Orange, NJ
National Provider Identifier
1386751410
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MA 38291 Issued in NJ
Legal business name
SATISH MEHTA M.D., P.A.
Practice address
707 S Orange Ave
So Orange, NJ 07079
Phone
(973) 762-4746
Fax
(973) 762-6862
NPI assigned
Aug 24, 2006
Last updated
Feb 12, 2021By the provider in NPPES
Organization subpart
No

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

Authorized official

Name
Satish R Mehta, M.D.NPI 1366545402
Title
President
Phone
(973) 762-4746

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)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MA 38291 NJ Primary

Addresses

Primary practice location

707 S Orange Ave
So Orange, NJ 07079

Mailing address

40 Dartmoor Rd
East Hanover, NJ 07936-3912
Phone (973) 273-1515

Other practice location 1

194 Clinton Ave Fl 2
Newark, NJ 07108-2809
Phone (973) 273-1515

Other identifiers 1

IdentifierTypeStateIssuer
3275001MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Satish Mehta MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1386751410",
    "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": "707 S ORANGE AVE",
            "city": "SO ORANGE",
            "state": "NJ",
            "postal_code": "07079",
            "telephone_number": "973-762-4746",
            "fax_number": "973-762-6862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "194 Clinton Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071082809",
            "country_code": "US",
            "telephone_number": "973-273-1515",
            "fax_number": "973-230-0883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SATISH MEHTA M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "SATISH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-762-4746",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "MA 38291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3275001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in So Orange, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.