Active NPI
Sucharita Mehta, MD
- Internal Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 230382
- 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, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02512572 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Schulman and Schachne Institute for Nursing and Rehabilitation Inc | Current | Accepting new patients | |
| Interfaith Professional Physician Services, P.C. | Internal Medicine | Current | Accepting new patients |
| The Schulman and Schachne Institute for Nursing and Rehabilitation Inc. | Current | Accepting new patients | |
| The Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Brookdale Hospital Medical Center | Current | 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.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1720028772
-
dba OBH Physician Associates
- Surgery Physician
- Brooklyn, NY
- NPI 1457643991
Internal Medicine
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1639756406
-
- Skilled Nursing Facility
- Brooklyn, NY
- NPI 1407842255
-
dba Schulman and Schachne Inst Nursing and Rehab
- Long Term Care Pharmacy
- Brooklyn, NY
- NPI 1578579124
-
- Skilled Nursing Facility
- Brooklyn, NY
- NPI 1831294636
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.