Active NPI
Mehta Medical PC
- Internal Medicine Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MEHTA MEDICAL PC
- Practice address
- 3979 Laconia Ave
Bronx, NY 10466-4916 - Phone
- (347) 442-7656
- Fax
- (347) 442-7049
- NPI assigned
- Oct 1, 2018
- Last updated
- Aug 14, 2020
- 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
- Neeta Mehta, MD
- Title
- Owner
- Phone
- (718) 909-9378
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 | NU | Primary |
Addresses
Primary practice location
3979 Laconia Ave
Bronx, NY 10466-4916
Mailing address
9 De Chiaro LN
Williston Park, NY 11596-1007
Phone (347) 442-7656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 182250048 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2191643 | Mehta Medical PC | Certificate of waiver | Aug 30, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 15
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1578820379
-
- Geriatric Medicine (Internal Medicine) Physician
- Bronx, NY
- NPI 1245462621
-
- Internal Medicine Physician
- Rego Park, NY
- NPI 1558353763
-
- Infectious Disease Physician
- Flushing, NY
- NPI 1346540986
Internal Medicine
-
- Neurology Physician
- New York, NY
- NPI 1174757421
-
- Endocrinology, Diabetes & Metabolism Physician
- Woodside, NY
- NPI 1417349473
-
- Gastroenterology Physician
- Richmond Hill, NY
- NPI 1720285174
-
- Family Nurse Practitioner
- Jackson Heights, NY
- NPI 1750878450
-
- Internal Medicine Physician
- Astoria, NY
- NPI 1144208497
-
- Family Nurse Practitioner
- New York, NY
- NPI 1871001156
-
- Internal Medicine Physician
- W Hempstead, NY
- NPI 1629488440
-
- Family Nurse Practitioner
- Jackson Heights, NY
- NPI 1063758860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597363200000",
"number": "1861977316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 DE CHIARO LN",
"city": "WILLISTON PARK",
"state": "NY",
"postal_code": "115961007",
"telephone_number": "347-442-7656",
"fax_number": "347-442-7049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3979 LACONIA AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104664916",
"telephone_number": "347-442-7656",
"fax_number": "347-442-7049"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEHTA MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-01",
"last_updated": "2020-08-14",
"certification_date": "2020-08-14",
"status": "A",
"authorized_official_last_name": "MEHTA",
"authorized_official_first_name": "NEETA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-909-9378",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "182250048",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.