Individual provider Active NPI

Sucharita Mehta, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1942209176
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
230382 Issued in NY
Practice address
207 Mayfair Dr N
Brooklyn, NY 11234-6713
Phone
(718) 763-7023
Fax
(718) 778-5752
NPI assigned
Jul 19, 2005
Last updated
Oct 3, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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 230382 NY Primary

Addresses

Primary practice location

207 Mayfair Dr N
Brooklyn, NY 11234-6713

Mailing address

207 Mayfair Dr N
Brooklyn, NY 11234-6713
Phone (718) 763-7023

Other identifiers 1

IdentifierTypeStateIssuer
02512572MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040430001039 NY Practitioner - Internal Medicine 5294723185 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Schulman and Schachne Institute for Nursing and Rehabilitation Inc CurrentSince Sep 1, 2020 Accepting new patients
Interfaith Professional Physician Services, P.C. Internal Medicine CurrentSince Jun 1, 2024 Accepting new patients
The Schulman and Schachne Institute for Nursing and Rehabilitation Inc. CurrentSince Sep 1, 2020 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Jan 1, 2021 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Jan 1, 2021 Accepting new patients
The Schulman and Schachne Institute for Nursing and Rehabilitation Inc Past Accepting new patients

Locations

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

555 Rockaway Pkwy
Brooklyn, NY 11212
Phone (718) 240-5105

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1942209176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 MAYFAIR DR N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346713",
            "telephone_number": "718-763-7023",
            "fax_number": "718-778-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 MAYFAIR DR N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346713",
            "telephone_number": "718-763-7023",
            "fax_number": "718-778-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "SUCHARITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "230382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02512572",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.