Shreya Mehta DPM, PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MD00264000 Issued in NJ

Legal business name

SHREYA MEHTA DPM, PA

Practice address

350 Bloomfield Ave Ste 1
Bloomfield, NJ 07003-4852

Phone

(917) 865-2476

NPI assigned

Sep 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shreya Mehta, DPMNPI 1235125311

Title

Physician

Phone

(917) 865-2476

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Shreya Mehta, D.P.M

  • Podiatrist
  • Upper Montclair, NJ
  • NPI 1235125311
  NPD (past) Authorized official

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457442675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 PARK ST",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070432239",
            "telephone_number": "917-865-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BLOOMFIELD AVE STE 1",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034852",
            "telephone_number": "917-865-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREYA MEHTA DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "SHREYA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "917-865-2476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00264000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8537101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Shaw
• Saty Hemdan Sherif, RPH
• Nima Nuru Sherpa
• Allison Sherwood, APN
• Shrenik G Shah MD PC
• Garry Shtofmakher, DPM
• Kateryna Serhiyivna Shushval, LPC
• Ronald A Silver, DDS
• Mingi Nicole Sim
• Jessica Simat, MS LPC

• Podiatrist in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.