Isha Mehta

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

350054 Issued in NY

Practice address

63 Winifred Dr
North Merrick, NY 11566-1724

Phone

(516) 710-2366

NPI assigned

Aug 10, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

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

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.

• Ko Medical Rehabilitation, PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Plainview, NY
  • NPI 1679324438
  Medicare reassignment NPD
• Kumar Medical Pain Management PC

  • Physical Medicine & Rehabilitation Physician
  • Plainview, NY
  • NPI 1417575911
  Medicare reassignment NPD
• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment NPD
• North Shore - Lij Medical PC

  • Internal Medicine Physician
  • New Hyde Park, NY
  • NPI 1790043479
  NPD

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1669100426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 WINIFRED DR",
            "city": "NORTH MERRICK",
            "state": "NY",
            "postal_code": "115661724",
            "telephone_number": "516-710-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 WINIFRED DR",
            "city": "NORTH MERRICK",
            "state": "NY",
            "postal_code": "115661724",
            "telephone_number": "516-710-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "ISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• K and I Licensed Practical Nurse
• Alston Lin
• Phyllis Lofaso, CCC-SLP
• Martin O Gottlieb MD
• Charisse McElwaine, RD
• Ira Lyle Miness, D.D.S.
• Brooke Mittleberg
• No Merrick Fire Dist
• North Merrick Ufsd
• Javier Otalora

• Family Nurse Practitioner in North Merrick, NY
• Providers in North Merrick, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.