Active NPI
P J Mehta MD PA
- Internal Medicine Physician
- Salisbury, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- P J MEHTA MD PA
- Practice address
- 829 Eastern Shore Dr
Salisbury, MD 21804-5944 - Phone
- (410) 546-3223
- NPI assigned
- Aug 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Piyush J Mehta, MD
- Title
- Owner
- Phone
- (410) 546-3223
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
829 Eastern Shore Dr
Salisbury, MD 21804-5944
Mailing address
PO Box 2518
Salisbury, MD 21802-2518
Phone (443) 366-5023
Other practice location 1
813 Eastern Shore Dr Ste B
Salisbury, MD 21804-5975
Phone (443) 260-2660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050927001492 | MD | Part B Supplier - Clinic/Group Practice | 6305871484 |
Receives reassigned benefits from 1 practitioner Practice locations: Salisbury, MD |
National Provider Directory
National Provider DirectoryLocations
813 Eastern Shore Dr
#B
Salisbury, MD 21804
Phone (410) 546-3223
829 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 546-3223
813 Eastern Shore Dr
Ste B
Salisbury, MD 21804
Phone (443) 260-2660
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Salisbury, MD
- NPI 1609989755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1760675540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2518",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218022518",
"telephone_number": "443-366-5023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "829 EASTERN SHORE DR",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218045944",
"telephone_number": "410-546-3223"
}
],
"practiceLocations": [
{
"address_1": "813 Eastern Shore Dr Ste B",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "MD",
"postal_code": "218045975",
"country_code": "US",
"telephone_number": "443-260-2660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "P J MEHTA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-24",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "MEHTA",
"authorized_official_first_name": "PIYUSH",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-546-3223",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.