Individual provider Active NPI

Vishvesh Mehta, MD

  • Otolaryngology Physician
  • Iselin, NJ
National Provider Identifier
1942243357
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
25MA08812200 Issued in NJ
Practice address
485 Route 1 S
BLDG. B, Suite 350
Iselin, NJ 08830-3009
Phone
(732) 549-3934
Fax
(732) 549-7250
NPI assigned
Jun 14, 2006
Last updated
Apr 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 232382 NY
Otolaryngology Physician 207Y00000X 25MA08812200 NJ Primary

Addresses

Primary practice location

485 Route 1 S
BLDG. B, Suite 350
Iselin, NJ 08830-3009

Mailing address

660 White Plains Rd FL 4
Tarrytown, NY 10591-5139
Phone (914) 984-2546

Other practice location 1

3663 Route 9 N Ste 102
Old Bridge, NJ 08857-3518
Phone (732) 679-7575

Other identifiers 1

IdentifierTypeStateIssuer
02647152MedicaidNY

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
I20110127000266 NJ Practitioner - Otolaryngology 4587695887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
State University of New York Downstate Medical Center, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Associates LLPGroup PAC ID 0749193662, 431 clinicians

Practice addresses (Care Compare)

1211 Hamburg Tpke
Suite 205
Wayne, NJ 07470-5056
Phone (973) 633-0808

3663 Route 9 N
Suite 102
Old Bridge, NJ 08857-3518
Phone (732) 679-7575

485 Route 1 S
Suite 350
Iselin, NJ 08830-3009
Phone (732) 549-3934

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.45 of 100Reported as group
Quality
89.91
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08812200NJMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ENT and Allergy Associates LLP Otolaryngology CurrentSince Oct 1, 2010 Accepting new patients
TJH Medical Services, P.C. Otolaryngology Past Accepting new patients
ENT and Allergy Associates of Pennsylvania PLLC Otolaryngology Past Accepting new patients

Locations

3663 Route 9 N
Ste 102
Old Bridge, NJ 08857
Phone (732) 679-7575

1211 Hamburg Tpke
Ste 205
Wayne, NJ 07470
Phone (973) 633-0808

660 White Plains Rd
Fl 4
Tarrytown, NY 10591
Phone (914) 984-2546

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: vishvesh.mehta@direct.entandallergy.nextgenshare.com

Organizations & group practices 3

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1942243357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 WHITE PLAINS RD FL 4",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915139",
            "telephone_number": "914-984-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 ROUTE 1 S",
            "address_2": "BLDG. B, SUITE 350",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088303009",
            "telephone_number": "732-549-3934",
            "fax_number": "732-549-7250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3663 Route 9 N Ste 102",
            "address_purpose": "LOCATION",
            "city": "Old Bridge",
            "state": "NJ",
            "postal_code": "088573518",
            "country_code": "US",
            "telephone_number": "732-679-7575",
            "fax_number": "732-707-3850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "VISHVESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "232382",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MA08812200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02647152",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iselin, NJ

Sources for this page

Verify at the official NPI Registry.