Individual provider Active NPI

Celina Mehta

  • Licensed Practical Nurse
  • Monroe, NY
National Provider Identifier
1669874830
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
10 310950 Issued in NY
Practice address
257 Orchard Dr
Monroe, NY 10950-4411
Phone
(646) 285-4730
NPI assigned
Sep 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 10 310950 NY Primary

Addresses

Primary practice location

257 Orchard Dr
Monroe, NY 10950-4411

Mailing address

257 Orchard Dr
Monroe, NY 10950-4411
Phone (646) 285-4730

Other practice location 1

777 Westchester Ave
Suite # 110
White Plains, NY 10604-3520
Phone (914) 997-0420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10 310950NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Maxim of New York, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1669874830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 ORCHARD DR",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109504411",
            "telephone_number": "646-285-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 ORCHARD DR",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109504411",
            "telephone_number": "646-285-4730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Westchester Ave",
            "address_2": "Suite # 110",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106043520",
            "country_code": "US",
            "telephone_number": "914-997-0420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "CELINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "10 310950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.