Individual provider Active NPI

Monica Mehta, M.D.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Jersey City, NJ
National Provider Identifier
1427099985
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
33984 Issued in NJ
Practice address
191 Palisade Ave
Jersey City, NJ 07306-1133
Phone
(201) 656-4324
Fax
(201) 656-4019
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 33984 NJ
Pediatric Rehabilitation Medicine Physician 2081P0010X 33984 NJ
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 33984 NJ
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X 33984 NJ
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 33984 NJ
Physical Medicine & Rehabilitation Physician 208100000X 33984 NJ
Spinal Cord Injury Medicine Physician 2081P0004X 33984 NJ
Sports Medicine (Preventive Medicine) Physician 2083S0010X 33984 NJ
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X 33984 NJ
Sports Medicine (Psychiatry & Neurology) Physician 2084S0010X 33984 NJ
Vascular Neurology Physician 2084V0102X 33984 NJ
Pain Medicine Physician 208VP0000X 33984 NJ
Interventional Pain Medicine Physician 208VP0014X 33984 NJ
Legal Medicine (M.D./D.O.) Physician 209800000X 33984 NJ
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X 33984 NJ Primary

Addresses

Primary practice location

191 Palisade Ave
Jersey City, NJ 07306-1133

Mailing address

191 Palisade Ave
Jersey City, NJ 07306-1112
Phone (201) 656-4324

Other identifiers 1

IdentifierTypeStateIssuer
3163601MedicaidNJ

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
I20090424000363 NJ Practitioner - Physical Medicine and RehabilitationPractitioner - Family PracticePractitioner - Interventional Pain ManagementPractitioner - Osteopathic Manipulative MedicinePractitioner - NeurologyPractitioner - Sports MedicinePractitioner - Geriatric MedicinePractitioner - RheumatologyPractitioner - Pain ManagementPractitioner - Peripheral Vascular DiseasePractitioner - Preventive MedicinePractitioner - Interventional RadiologyPractitioner - Other (Physician) 2668520982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Family Practice, Geriatric Medicine, Interventional Pain Management, Interventional Radiology
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain and Disability Institute, P.C.Group PAC ID 5395901052, 10 clinicians

Practice addresses (Care Compare)

191 Palisade Ave
Jersey City, NJ 07306-1112
Phone (201) 656-4324

Merit-based Incentive Payment System (MIPS)

Final score
95.04 of 100Reported as group
Quality
100
Improvement activities
40
Cost
55.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33984NJMDSpinal Cord Injury Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ambulatory Pain and Disability Management Center LLC Current Accepting new patients

Locations

191 Palisade Ave
Jersey City, NJ 07306
Phone (201) 656-4324

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1427099985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 PALISADE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061112",
            "telephone_number": "201-656-4324",
            "fax_number": "201-656-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 PALISADE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061133",
            "telephone_number": "201-656-4324",
            "fax_number": "201-656-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "MONICA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "33984",
            "primary": false
        },
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "NJ",
            "license": "33984",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NJ",
            "license": "33984",
            "primary": false
        },
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "NJ",
            "license": "33984",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NJ",
            "license": "33984",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "33984",
            "primary": false
        },
        {
            "code": "2081P0004X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "NJ",
            "license": "33984",
            "primary": false
        },
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "NJ",
            "license": "33984",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "NJ",
            "license": "33984",
            "primary": false
        },
        {
            "code": "2084S0010X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sports Medicine",
            "state": "NJ",
            "license": "33984",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "NJ",
            "license": "33984",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": "33984",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "33984",
            "primary": false
        },
        {
            "code": "209800000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NJ",
            "license": "33984",
            "primary": false
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NJ",
            "license": "33984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3163601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.