Individual provider Active NPI

Jay Kenneth Mehlman, MD

  • Gastroenterology Physician
  • Rockaway Park, NY
National Provider Identifier
1649251885
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
201048 Issued in NY
Practice address
11412 Beach Channel Dr Ste 10
Rockaway Park, NY 11694-2212
Phone
(718) 318-0800
Fax
(718) 318-0440
NPI assigned
Nov 7, 2005
Last updated
Feb 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 201048 NY Primary

Addresses

Primary practice location

11412 Beach Channel Dr Ste 10
Rockaway Park, NY 11694-2212

Mailing address

949 Northfield Rd
Woodmere, NY 11598-1663
Phone (718) 318-0800

Other identifiers 1

IdentifierTypeStateIssuer
02115704MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080227000230 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 9638253842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Albert Einstein College of Medicine of Yeshiva University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11412 Beach Channel Dr
Suite 10
Rockaway Park, NY 11694-2215
Phone (718) 318-0800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy287
Upper gastrointestinal (GI) endoscopy for acid reflux156

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jay K. Mehlman, MD, PC Gastroenterology CurrentSince Jan 1, 2008 Accepting new patients
Shibrah M. Jamil, MD, P.C. CurrentSince Oct 1, 2020 Accepting new patients

Locations

270 Doughty Blvd
Inwood, NY 11096
Phone (516) 239-5959

11412 Beach Channel Dr
Ste 10
Rockaway Park, NY 11694
Phone (718) 318-0800

Networks

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1649251885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 NORTHFIELD RD",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981663",
            "telephone_number": "718-318-0800",
            "fax_number": "718-318-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11412 BEACH CHANNEL DR STE 10",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942212",
            "telephone_number": "718-318-0800",
            "fax_number": "718-318-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHLMAN",
        "first_name": "JAY",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "201048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02115704",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Park, NY

Sources for this page

Verify at the official NPI Registry.