Neeta Mehta, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

291308 Issued in NY

Practice address

3979 Laconia Ave
Bronx, NY 10466-4916

Phone

(347) 442-7656

Fax

(347) 442-7049

NPI assigned

Apr 18, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

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.

• Mehta Medical PC

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1861977316
  Medicare reassignment Authorized official
• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572

  Internal Medicine

  Medicare reassignment NPD
• Qli Hospitalist Services, P.C.

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1780092882
  NPD
• Papas Pharmacy

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1962779074
  NPD (past)

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1578820379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3979 LACONIA AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104664916",
            "telephone_number": "347-442-7656",
            "fax_number": "347-442-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3979 LACONIA AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104664916",
            "telephone_number": "347-442-7656",
            "fax_number": "347-442-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "NEETA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "055096",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "291308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182250048",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anil J. Mehta, R.PH.
• Gargi H Mehta, PA-C
• Jagruti Mehta, LMSW
• Keyur Mehta, M.D.
• Khushi Tushar Mehta
• Parshwa Rajendra Mehta, PT
• Puja Desai Mehta, O.D.
• Rekha Mehta, M.D.
• Sujay Mehta, DMD, MPH
• Guiry Mehu, MD

• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.