Individual provider Active NPI

Bhavik P Mehta, AGNP-C

  • Gerontology Nurse Practitioner
  • Hamilton Township, NJ
National Provider Identifier
1639902687
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ15115200 Issued in NJ
Practice address
3100 Quakerbridge Rd Ste 28
Hamilton Township, NJ 08619
Phone
(609) 245-7430
Fax
(732) 463-5505
NPI assigned
Aug 24, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ15115200 NJ Primary
Nurse Practitioner 363L00000X 26NJ15115200 NJ

Addresses

Primary practice location

3100 Quakerbridge Rd Ste 28
Hamilton Township, NJ 08619

Mailing address

26 Saddle CT
Monroe Township, NJ 08831-3503
Phone (908) 494-7755

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250325000285 NJ Practitioner - Nurse Practitioner 1850814468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rwjbh Primary Care ServicesGroup PAC ID 0749699346, 266 clinicians

Practice addresses (Care Compare)

3100 Quakerbridge Rd
Suite 28
Hamilton, NJ 08619-1658
Phone (609) 245-7430

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ15115200NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rwjbh Primary Care Services Nurse Practitioner CurrentSince Jan 19, 2025 Accepting new patients

Locations

600 River Ave
Fl 3
Lakewood, NJ 08701
Phone (732) 886-4700

25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

3100 Quakerbridge Rd
Ste 28
Trenton, NJ 08619
Phone (609) 245-7430

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1724457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1639902687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SADDLE CT",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088313503",
            "telephone_number": "908-494-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 QUAKERBRIDGE RD STE 28",
            "city": "HAMILTON TOWNSHIP",
            "state": "NJ",
            "postal_code": "08619",
            "telephone_number": "609-245-7430",
            "fax_number": "732-463-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "BHAVIK",
        "middle_name": "P",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-24",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ15115200",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ15115200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton Township, NJ

Sources for this page

Verify at the official NPI Registry.