Individual provider Active NPI

Priti J Mehta, M.D

  • Internal Medicine Physician
  • South Plainfield, NJ
National Provider Identifier
1881831469
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08524100 Issued in NJ
Practice address
904 Oak Tree Ave Ste J
South Plainfield, NJ 07080
Phone
(732) 372-5063
Fax
(888) 225-7592
NPI assigned
Jan 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08524100 NJ Primary

Addresses

Primary practice location

904 Oak Tree Ave Ste J
South Plainfield, NJ 07080

Mailing address

815 Village Dr
Edison, NJ 08817-2635
Phone (732) 393-0185

Other practice location 1

81 Veronica Ave Ste 202A
Somerset, NJ 08873-3491
Phone (732) 372-5063

Other identifiers 1

IdentifierTypeStateIssuer
0353655MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110207000479 NJ Practitioner - Internal Medicine 7113107293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

904 Oak Tree Ave
Suite J
South Plainfield, NJ 07080-5132
Phone (732) 372-5063

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08524100NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare MD LLC CurrentSince Jan 23, 2017 Accepting new patients

Locations

81 Veronica Ave
Ste 202A
Somerset, NJ 08873
Phone (732) 372-5063

906 Oak Tree Ave
Ste H
South Plainfield, NJ 07080
Phone (973) 864-7845

904 Oak Tree Ave
Ste J
South Plainfield, NJ 07080
Phone (732) 372-5063

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1232323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1881831469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 VILLAGE DR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172635",
            "telephone_number": "732-393-0185",
            "fax_number": "888-225-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 OAK TREE AVE STE J",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "07080",
            "telephone_number": "732-372-5063",
            "fax_number": "888-225-7592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81 Veronica Ave Ste 202A",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "NJ",
            "postal_code": "088733491",
            "country_code": "US",
            "telephone_number": "732-372-5063",
            "fax_number": "888-225-7592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "PRITI",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-19",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08524100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0353655",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

Verify at the official NPI Registry.