Dr Taral Divyakant Mehta, MD | |
Atlanticare Regional Medical Center, Jimmie Leeds Road, Pomona, NJ 08240-9104 | |
(609) 652-1000 | |
(609) 748-5988 |
Full Name | Dr Taral Divyakant Mehta |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | Atlanticare Regional Medical Center, Pomona, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043408859 | NPI | - | NPPES |
0055344 | Medicaid | NJ | |
101225410 | Medicaid | PA | |
4133072 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | MA06133400 (New Jersey) | Primary |
Entity Name | Children's Health Care Associates Of New Jersey Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427152917 PECOS PAC ID: 1052219110 Enrollment ID: O20031229000053 |
Mailing Address | Practice Location Address |
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Dr Taral Divyakant Mehta, MD Po Box 191, Provider Enrollment Dept, Rockland, DE 19732-0191 Ph: (302) 651-6212 | Dr Taral Divyakant Mehta, MD Atlanticare Regional Medical Center, Jimmie Leeds Road, Pomona, NJ 08240-9104 Ph: (609) 652-1000 |
Dr. Stephanie Anne Grayson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 65 W Jimmie Leeds Rd, Chop Care Network @ Atlanticare, Pomona, NJ 08240 Phone: 609-652-1000 | |
Dr. Jennifer Tioseco, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 65 W Jimmie Leeds Rd, Chop Care Network @ Atlanticare, Pomona, NJ 08240 Phone: 609-404-3816 Fax: 609-404-3818 | |
Cynthia D. Villasis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 65 W Jimmie Leeds Rd, Chop Care Network @ Atlanticare, Pomona, NJ 08240 Phone: 609-404-3816 | |
Dr. Mark F. Ditmar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Atlanticare Regional Medical Center, Jimmie Leeds Road, Pomona, NJ 08240 Phone: 609-652-1000 Fax: 609-748-5988 | |
Benedict E Asiegbu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 65 W Jimmie Leeds Rd, Chop Care Network @ Atlanticare, Pomona, NJ 08240 Phone: 609-652-1000 Fax: 302-651-4945 | |
Dr. Pietros Hadgu, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Atlanticare Regional Medical Center, Jimmie Leeds Road, Pomona, NJ 08240 Phone: 609-652-1000 Fax: 609-404-3818 |