Individual provider Active NPI

Sidhartha Mehta, M.D.

  • Internal Medicine Physician
  • Newark, NJ
National Provider Identifier
1487969895
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08806200 Issued in NJ
Practice address
501 Bloomfield Ave
Newark, NJ 07107-1809
Phone
(973) 494-8552
Fax
(973) 545-8198
NPI assigned
Aug 10, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08806200 NJ Primary

Addresses

Primary practice location

501 Bloomfield Ave
Newark, NJ 07107-1809

Mailing address

PO Box 740021
Atlanta, GA 30374-0021
Phone (312) 733-9730

Other practice location 1

871 Allwood Rd
Clifton, NJ 07012-1943
Phone (862) 249-4904

Other practice location 2

1000 S Elmora Ave
Elizabeth, NJ 07202-3100
Phone (908) 737-5703

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
I20110527000191 NJ Practitioner - Internal Medicine 3173700226 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh-NJ Physicians Group PCGroup PAC ID 3678005345, 10 clinicians

Practice addresses (Care Compare)

501 Bloomfield Ave
Newark, NJ 07107-1809
Phone (973) 494-8552

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-NJ Physicians Group PC CurrentSince Sep 17, 2024 Accepting new patients
Practice Associates Medical Group Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Medical Associates of Englewood, PC Internal Medicine PastSince Sep 1, 2019 Accepting new patients

Locations

1000 S Elmora Ave
Elizabeth, NJ 07202
Phone (908) 629-1265

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

501 Bloomfield Ave
Newark, NJ 07107
Phone (973) 494-8552

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

Organizations & group practices 3

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": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1487969895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740021",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740021",
            "telephone_number": "312-733-9730",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BLOOMFIELD AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071071809",
            "telephone_number": "973-494-8552",
            "fax_number": "973-545-8198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "871 Allwood Rd",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070121943",
            "country_code": "US",
            "telephone_number": "862-249-4904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 S Elmora Ave",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "NJ",
            "postal_code": "072023100",
            "country_code": "US",
            "telephone_number": "908-737-5703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "SIDHARTHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-10",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08806200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.