Active NPI
Shashikant J Mehta, M.D
- Internal Medicine Physician
- Allentown, PA
National Provider Identifier
1730108077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD-047555-L
- Practice address
- 3110 Hamilton Blvd
Allentown, PA 18103-3630 - Phone
- (610) 776-4377
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA 55739 | NJ | |
| Internal Medicine Physician | 207R00000X | MD-047555-L | PA | Primary |
| Internal Medicine Physician | 207R00000X | MA 0067967 | FL |
Addresses
Primary practice location
3110 Hamilton Blvd
Allentown, PA 18103-3630
Mailing address
3110 Hamilton Blvd
Allentown, PA 18103-3630
Phone (610) 776-4377
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA-55739 | Other | NJ | NJ -STATE LICENSE. |
| MD-047555-L | Other | PA | PA-STATE LICENSE. |
| MA 0067967 | Other | FL | FL-STATE LICENSE. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 0067967 | FL | MD | Internal Medicine Physician |
| MA 55739 | NJ | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1730108077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3110 HAMILTON BLVD",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181033630",
"telephone_number": "610-776-4377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3110 HAMILTON BLVD",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181033630",
"telephone_number": "610-776-4377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "SHASHIKANT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA 55739",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD-047555-L",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "MA 0067967",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ -STATE LICENSE.",
"identifier": "MA-55739",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA-STATE LICENSE.",
"identifier": "MD-047555-L",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL-STATE LICENSE.",
"identifier": "MA 0067967",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.