Individual provider Active NPI

Raja Nayan Mehta, DO

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1669051082
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
328936 Issued in NY
Practice address
E 6 45TH St
9TH Floor
New York, NY 10017
Phone
(347) 558-4094
NPI assigned
Apr 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 328936 NY Primary

Addresses

Primary practice location

E 6 45TH St
9TH Floor
New York, NY 10017

Mailing address

24 Danton LN N
Locust Valley, NY 11560-1122
Phone (516) 547-6765

Other practice location 1

24 DAnton Ln N
Locust Valley, NY 11560-1122
Phone (516) 547-6765

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
I20251212002582 NY Practitioner - Family Practice 2961996384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Azadeh Beheshtian MD PLLCGroup PAC ID 1254752553, 3 clinicians

Practice addresses (Care Compare)

6 E 45TH St
FL 9
New York, NY 10017-2401
Phone (347) 558-4094

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
328936NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Azadeh Beheshtian MD PLLC CurrentSince Sep 2, 2025 Accepting new patients
North Shore-Lij Medical PC Family Medicine PastSince Sep 2, 2025 Accepting new patients

Locations

6 E 45th St
Fl 9
New York, NY 10017
Phone (347) 558-4094

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1669051082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 DANTON LN N",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115601122",
            "telephone_number": "516-547-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E 6 45TH ST",
            "address_2": "9TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10017",
            "telephone_number": "347-558-4094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 DAnton Ln N",
            "address_purpose": "LOCATION",
            "city": "Locust Valley",
            "state": "NY",
            "postal_code": "115601122",
            "country_code": "US",
            "telephone_number": "516-547-6765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "RAJA",
        "middle_name": "NAYAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-04",
        "last_updated": "2025-08-28",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "328936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.