| Satish R Mehta Md Pa | |
|
194 Clinton Ave Newark NJ 07108-2809 | |
| (973) 273-1515 | |
| (973) 230-0883 |
| Full Name | Satish R Mehta Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 194 Clinton Ave, Newark, New Jersey |
| Authorized Official Name and Position | Frank Abion (OFFICE MANAGER) |
| Authorized Official Contact | 9733506411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Satish R Mehta Md Pa 40 Dartmoor Rd East Hanover NJ 07936-3912 Ph: (973) 273-1515 | Satish R Mehta Md Pa 194 Clinton Ave Newark NJ 07108-2809 Ph: (973) 273-1515 |
| NPI Number | 1083891386 |
|---|---|
| Provider Enumeration Date | 01/29/2008 |
| Last Update Date | 02/12/2021 |
| Medicare PECOS PAC ID | 9234179631 |
|---|---|
| Medicare Enrollment ID | O20101112000430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083891386 | NPI | - | NPPES |
| 3275001 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA38291 (New Jersey) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | MA38291 (New Jersey) | Primary |
| Provider Name | Pankaja B Achar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003876186 PECOS PAC ID: 2769376292 Enrollment ID: I20040213000361 |
| Provider Name | Satish R Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366545402 PECOS PAC ID: 2466647797 Enrollment ID: I20101112000483 |
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