Individual provider Active NPI

Sanjay Mehta, DO

  • Pediatrics Physician
  • Freehold, NJ
National Provider Identifier
1700084308
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MB08224700 Issued in NJ
Practice address
901 W Main St
Centrastate Medical Center
Freehold, NJ 07728-2537
Phone
(732) 294-2666
Fax
(732) 431-8267
NPI assigned
Jul 5, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MB08224700 NJ Primary

Addresses

Primary practice location

901 W Main St
Centrastate Medical Center
Freehold, NJ 07728-2537

Mailing address

PO Box 2680
Central Jersey Emerg Med Assoc
New Brunswick, NJ 08903-2680
Phone (800) 666-2455

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241216000216 NJ Practitioner - Emergency Medicine 6103917877 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Plover Inpatient Services LLC CurrentSince Sep 9, 2025 Accepting new patients
Morristown Emergency Medical Associates LLC CurrentSince Nov 3, 2024 Accepting new patients
Nextgenuc LLC Pediatrics Past Accepting new patients
Nextgenuc LLC Past Accepting new patients

Locations

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

Interoperability endpoints

  • Direct secure messaging: sanjay.mehta.1@27996.direct.athenahealth.com
  • Direct secure messaging: sanjay.mehta@4276.securemail.prognocis.com
  • Direct secure messaging: smehta425310@direct.ahsys.org

Organizations & group practices 4

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": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700084308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2680",
            "address_2": "CENTRAL JERSEY EMERG MED ASSOC",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089032680",
            "telephone_number": "800-666-2455",
            "fax_number": "610-617-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "address_2": "CENTRASTATE MEDICAL CENTER",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-294-2666",
            "fax_number": "732-431-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "SANJAY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB08224700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.