Individual provider Active NPI

Siddhart Kumar Mehta, MD

  • Neurology Physician
  • Livingston, NJ
National Provider Identifier
1821476003
Registry record updated May 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA09558700 Issued in NJ
Practice address
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone
(973) 322-6500
NPI assigned
May 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 25MA09558700 NJ Primary
Neurocritical Care Physician 2084A2900X 25MA09558700 NJ
Vascular Neurology Physician 2084V0102X 25MA09558700 NJ

Addresses

Primary practice location

94 Old Short Hills Rd
Livingston, NJ 07039-5672

Mailing address

101 Old Short Hills Rd
West Orange, NJ 07052-1000
Phone (973) 322-6500

Other practice location 1

101 Old Short Hills Rd
West Orange, NJ 07052-1000
Phone (973) 322-6500

Other identifiers 1

IdentifierTypeStateIssuer
0461121MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, MN2 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
I20150618000528 NJ Practitioner - NeurologyPractitioner - Vascular Surgery 3072824929 Reassigns benefits to 7 organizations
I20240411000944 MN Practitioner - Neurology 3072824929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Vascular Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Brain and Spine LLCGroup PAC ID 5193169464, 26 clinicians
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians
Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 993-7100

101 Old Short Hills Rd
Suite 401
West Orange, NJ 07052-1023
Phone (973) 322-6500

1945 Route 33
Neptune, NJ 07753-4859
Phone (732) 776-4945

1945 State Hwy 33
Neptune, NJ 07753-4859
Phone (732) 362-3663

30 Prospect Ave
Hackensack, NJ 07601-1915

65 James St
Edison, NJ 08820-3947
Phone (732) 321-7901

99 Beauvoir Ave
FL 5
Summit, NJ 07901-3533
Phone (908) 516-2941

Hospital & facility affiliations

  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09558700NJMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Hospital of Duluth CurrentSince Mar 1, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2023 Accepting new patients
HMH Hospitals Corporation Vascular Neurology CurrentSince Apr 1, 2022 Accepting new patients
Community Hospital Group Inc Current Accepting new patients
Barnabas Health Medical Group PC CurrentSince Feb 3, 2024 Accepting new patients
Atlantic Brain and Spine LLC CurrentSince Mar 1, 2024 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Feb 3, 2024 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC CurrentSince Nov 29, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2023 Accepting new patients
Community Hospital Group, Inc. Neurology CurrentSince Oct 21, 2021 Accepting new patients
St. Luke'S Hospital of Duluth Current Accepting new patients
HMH Hospitals Corporation CurrentSince Apr 1, 2022 Accepting new patients
Rwjbh Observation Associates LLC CurrentSince Dec 26, 2023 Accepting new patients
St. Luke'S Hospital of Duluth CurrentSince Mar 1, 2024 Accepting new patients
Oncology & Hematology Specialists,P.a. PastSince Mar 1, 2024 Accepting new patients
Community Hospital Group, Inc Past Accepting new patients
Community Hospital Group, Inc Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352

325 11th Ave
Two Harbors, MN 55616
Phone (218) 834-5520

65 James St
Lot G
Edison, NJ 08820
Phone (732) 321-7487

65 James St
Edison, NJ 08820
Phone (732) 321-7010

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

95 Madison Ave
Ste A06
Morristown, NJ 07960
Phone (973) 993-7100

10 Madison Ave
Ste 202
Morristown, NJ 07960
Phone (862) 398-1578

100 Madison Ave
Ste 3101
Morristown, NJ 07960
Phone (973) 267-9543

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

101 Old Short Hills Rd
Ste 401
West Orange, NJ 07052
Phone (973) 322-6500

101 Old Short Hills Rd
West Orange, NJ 07052
Phone (973) 322-6256

Interoperability endpoints

  • Direct secure messaging: siddhart.mehta@direct.hackensackmeridian.org
  • Direct secure messaging: smehta319801@epicdirect.rwjbh.org
  • Direct secure messaging: smehta510312@direct.ahsys.org
  • Direct secure messaging: smehta237510@direct.aspirus.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 8

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": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746316800000",
    "number": "1821476003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS RD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521000",
            "telephone_number": "973-322-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 OLD SHORT HILLS RD",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395672",
            "telephone_number": "973-322-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Old Short Hills Rd",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070521000",
            "country_code": "US",
            "telephone_number": "973-322-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "SIDDHART",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-08",
        "last_updated": "2025-05-04",
        "certification_date": "2025-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA09558700",
            "primary": true
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "NJ",
            "license": "25MA09558700",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "NJ",
            "license": "25MA09558700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0461121",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.