Mehta, Jayesh R

Mehta, Jayesh R is an sole proprietor health care provider with primary practice located at 55 Old Nyack Tpke Suite 503, Nanuet NY 10954-2461. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Mehta, Jayesh R can be contacted via phone (845) 627-2800.

Contact Information

Primary practice address
55 Old Nyack Tpke Suite 503 Nanuet NY 10954-2461
Phone: (845) 627-2800
Fax: (845) 627-7827
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 200651 New York
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 200651 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 200651 New York

Profile Details

NPI number 1902995558
LBN Legal business name Mehta, Jayesh R
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Dec 12th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902995558 NPPES
New York MEDICAID 01832099

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