Individual provider Active NPI

Pallav K Mehta, M.D.

  • Hematology & Oncology Physician
  • Camden, NJ
National Provider Identifier
1720126170
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
25MA09663000 Issued in NJ
Practice address
2 Cooper PLZ
400 Haddon Ave
Camden, NJ 08103-1461
Phone
(855) 632-2667
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD422875 PA
Hematology & Oncology Physician 207RH0003X 25MA09663000 NJ Primary

Addresses

Primary practice location

2 Cooper PLZ
400 Haddon Ave
Camden, NJ 08103-1461

Mailing address

1 Federal St
Camden, NJ 08103-1088
Phone (856) 356-4924

Other practice location 1

900 Centennial Blvd
Building 1
Voorhees, NJ 08043-4637
Phone (855) 632-2667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070710000015 PA Practitioner - Hematology/OncologyPractitioner - Medical Oncology 7012017817 Reassigns benefits to 1 organization
I20150605000083 NJ Practitioner - Hematology/Oncology 7012017817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Jefferson Medical College of Thomas Jefferson University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CMC Department of Medicine Group PAGroup PAC ID 2163335878, 474 clinicians

Practice addresses (Care Compare)

2 Cooper PLZ
Camden, NJ 08103-1461
Phone (855) 632-2667

Hospital & facility affiliations

  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014
  • Holy Redeemer Hospital and Medical Center Hospital, Meadowbrook, PA, CCN 390097

Merit-based Incentive Payment System (MIPS)

Final score
91.83 of 100Reported as group
Quality
88.78
Promoting interoperability
99
Improvement activities
40
Cost
74.17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Redeemer Cancer Care Physicians Network, LLC Hematology & Oncology CurrentSince Feb 4, 2022 Accepting new patients
CMC Department of Medicine Group PA Hematology & Oncology CurrentSince May 19, 2015 Accepting new patients

Locations

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

2 Cooper Plz
#400
Camden, NJ 08103
Phone (856) 342-2300

2 Cooper Plz
Camden, NJ 08103
Phone (609) 342-7600

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

90 Brick Rd
Marlton, NJ 08053
Phone (856) 355-6040

400 W Route 38
Ste 100
Moorestown, NJ 08057
Phone (856) 270-4020

1 Plaza Dr
Ste 103
Sewell, NJ 08080
Phone (856) 270-4080

100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000

900 Centennial Blvd
Bldg 1
Voorhees, NJ 08043
Phone (856) 325-6535

900 Centennial Blvd
Ste M
Voorhees, NJ 08043
Phone (856) 325-6750

667 Welsh Rd
Huntingdon Vy, PA 19006
Phone (267) 205-6774

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

1650 Huntingdon Pike
Ste 160
Meadowbrook, PA 19046
Phone (215) 344-9560

Interoperability endpoints

  • Direct secure messaging: mehta-pallav@directaddress.net
  • Direct secure messaging: pmehta39955@direct.cooperhealth.edu

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1720126170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COOPER PLZ",
            "address_2": "400 HADDON AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031461",
            "telephone_number": "855-632-2667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Centennial Blvd",
            "address_2": "Building 1",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080434637",
            "country_code": "US",
            "telephone_number": "855-632-2667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "PALLAV",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD422875",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA09663000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.