Active NPI
Mala Rushabh Mehta, MA CCCA
- Audiologist
- Wayne, NJ
National Provider Identifier
1558532408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 41YA00046100
- Practice address
- 1211 Hamburg Tpke
Suite 205
Wayne, NJ 07470-5043 - Phone
- (973) 633-0808
- Fax
- (973) 633-8811
- NPI assigned
- Mar 19, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 41YA00046100 | NJ | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 25MG00089400 | NJ |
Addresses
Primary practice location
1211 Hamburg Tpke
Suite 205
Wayne, NJ 07470-5043
Mailing address
1211 Hamburg Tpke
Suite 205
Wayne, NJ 07470-5043
Phone (973) 633-0808
Other names 1
- Mala Harnish Mehta
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MG00089400 | NJ | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT and Allergy Associates of Pennsylvania PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Allergy & Immunology Physician
- Horsham, PA
- NPI 1548098759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231200000000",
"number": "1558532408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 HAMBURG TPKE",
"address_2": "SUITE 205",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074705043",
"telephone_number": "973-633-0808",
"fax_number": "973-633-8811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 HAMBURG TPKE",
"address_2": "SUITE 205",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074705043",
"telephone_number": "973-633-0808",
"fax_number": "973-633-8811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "MALA",
"middle_name": "RUSHABH",
"credential": "MA CCCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-19",
"last_updated": "2009-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NJ",
"license": "41YA00046100",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NJ",
"license": "25MG00089400",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MALA",
"last_name": "MEHTA",
"middle_name": "HARNISH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.