Organization Active NPI

Mehta Bariatric Center

  • Medical Specialty Clinic/Center
  • Princeton, NJ
National Provider Identifier
1609987106
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MA072620 Issued in NJ
Legal business name
MEHTA BARIATRIC CENTER
Practice address
1 Academy St
Princeton, NJ 08540-9590
Phone
(609) 924-0200
Fax
(609) 924-0201
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Authorized official

Name
Vishal Mehta, MDNPI 1538353933
Title
Surgeon
Phone
(609) 924-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X MA072620 NJ Primary

Addresses

Primary practice location

1 Academy St
Princeton, NJ 08540-9590

Mailing address

1 Academy St
Princeton, NJ 08540-9590
Phone (609) 924-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040105000013 NJ Part B Supplier - Clinic/Group Practice 6901705482 Receives reassigned benefits from 1 practitioner
Practice locations: Princeton, NJ

National Provider Directory

National Provider Directory

Locations

1 Academy St
Princeton, NJ 08540
Phone (609) 924-0200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1609987106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ACADEMY ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085409590",
            "telephone_number": "609-924-0200",
            "fax_number": "609-924-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ACADEMY ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085409590",
            "telephone_number": "609-924-0200",
            "fax_number": "609-924-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHTA BARIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "609-924-0200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "MA072620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.