Ranjana D Mehta, MD
Individual provider Active NPI Pulmonary Disease Physician · East Moriches, NY
NPI 1407942147 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1407942147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 198176 (NY)
- Practice address
- 41 Bay Avenue
East Moriches, NY 11940 - Phone
- (631) 878-1543
- Fax
- (631) 874-2559
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- North Shore Hematology Oncology Associates PC
Practice addresses (Care Compare)
285 Sills Rd
East Patchogue, NY 11772-4808
Phone (631) 751-3000
365 E Main St
Patchogue, NY 11772-3145
Phone (631) 751-3000
48 Route 25a
Smithtown, NY 11787-1431
Phone (631) 751-3000
Hospital & facility affiliations
- Peconic Bay Homehealth Services
- Centerwell Home Health
- NYU Langone Home Health Care
- Tender Loving Care, an Amedisys Company
- Catholic Home Care
- Suny/Stony Brook University Hospital
- St Charles Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100723000148 | NY | Practitioner - Internal Medicine |
5395876650 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mehta & Mehta Physicians PC | Internal Medicine | Current |
Accepting new patients |
| Stony Brook Internists, University Faculty Practice Corporation | Current |
Accepting new patients | |
| North Shore Hematology Oncology Associates PC | Current |
Accepting new patients | |
| Stony Brook Internists, University Faculty Practice Corporation | Internal Medicine | Current |
Accepting new patients |
Locations
41 Bay Ave
East Moriches, NY 11940
Phone (631) 727-4171
3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376
1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354
48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540
100 Nicolls Rd
#13202
Stony Brook, NY 11794
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- ranjana.mehta@sbcm.cernerdirect.com
- rmehta68342@northwell.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 198176 | NY | Yes |
| Internal Medicine Physician | 207R00000X | 198176 | NY |
Addresses
Primary practice location
41 Bay Avenue
East Moriches, NY 11940
Mailing address
41 Bay Avenue
East Moriches, NY 11940
Phone (631) 878-1543
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01676071 | Medicaid | NY | |
| 198176 | Other | NY | LICENCE NUMBER |
Other providers in East Moriches, NY
- Krystie Leigh Manaro
- Kaitlyn Martin
- William C McConnell
- Cynthia Lynn McDonald
- Dhiren Chhotalal Mehta
- Stuart J Menis
- Francisco Manuel Mercado Bolivar
- Jason Meyer
- Regina G Muir
- Tia Marie Rose Murphy
All providers in East Moriches, NY · Pulmonary Disease Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.