Active NPI
Sunita Mehta, M.D.
- Pediatrics Physician
- Lakewood, NJ
National Provider Identifier
1700846219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA08274700
- Practice address
- 101 Prospect St
Lakewood, NJ 08701-5020 - Phone
- (732) 363-1424
- NPI assigned
- Mar 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA08274700 | NJ | Primary |
Addresses
Primary practice location
101 Prospect St
Lakewood, NJ 08701-5020
Mailing address
101 Prospect St
Lakewood, NJ 08701-5020
Phone (732) 363-1424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SM61400 | Medicaid | RI |
Other names 1
- Sunita Bhandari
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225735 | MA | MD | Clinical Social Worker |
| 25MA08274700 | NJ | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193097600000",
"number": "1700846219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 PROSPECT ST",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015020",
"telephone_number": "732-363-1424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PROSPECT ST",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015020",
"telephone_number": "732-363-1424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "SUNITA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-27",
"last_updated": "2007-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA08274700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SM61400",
"state": "RI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUNITA",
"last_name": "BHANDARI",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.