Active NPI
Amy Mehta
- Ophthalmology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036.145316
- Practice address
- 755 Park Ave
New York, NY 10021-4255 - Phone
- (855) 295-4144
- Fax
- (631) 257-5098
- NPI assigned
- Apr 29, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 291140 | NY | |
| Ophthalmology Physician | 207W00000X | 036.145316 | IL | Primary |
Addresses
Primary practice location
755 Park Ave
New York, NY 10021-4255
Mailing address
125 Kennedy Dr Ste 400
Hauppauge, NY 11788-4017
Phone (855) 295-4144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05658911 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- New York Medical College, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
755 Park Ave
New York, NY 10021-4255
Phone (855) 295-4144
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 112 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.145316 | IL | MD | Ophthalmology Physician |
| 291140 | NY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sight Medical Doctors PLLC | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Ophthalmology | Current | Accepting new patients |
| Sight Medical Doctors PLLC | Ophthalmology | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Ophthalmology | Current | Accepting new patients |
Locations
601 Suffolk Ave
Brentwood, NY 11717
Phone (631) 231-4384
125 Kennedy Dr
Ste 400
Hauppauge, NY 11788
310 E 14th St
New York, NY 10003
Phone (212) 979-4000
218 2nd Ave
New York, NY 10003
Phone (212) 979-4000
220 Maple Ave
Rockville Ctr, NY 11570
260 E Middle Country Rd
Ste 201
Smithtown, NY 11787
Phone 6312658780150
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Hauppauge, NY
- NPI 1487077483
-
dba Ophthalmology Department of Mount Sinai
- Ophthalmology Physician
- New York, NY
- NPI 1437421252
-
dba New York Eye & Ear Optical Shop
- Eyewear Supplier
- New York, NY
- NPI 1760227466
Ophthalmology
-
dba SightMD NY
- Durable Medical Equipment & Medical Supplies
- Johnson City, NY
- NPI 1730040700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1942610977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 KENNEDY DR STE 400",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117884017",
"telephone_number": "855-295-4144",
"fax_number": "631-257-5098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214255",
"telephone_number": "855-295-4144",
"fax_number": "631-257-5098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-29",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "291140",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036.145316",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05658911",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.
- 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.