| Nikunj Mehta Mdpa | |
|
9 Mule Rd Ste E14 Toms River NJ 08755-5053 | |
| (732) 244-1080 | |
| (732) 244-1130 |
| Full Name | Nikunj Mehta Mdpa |
|---|---|
| Speciality | Internal Medicine |
| Location | 9 Mule Rd Ste E14, Toms River, New Jersey |
| Authorized Official Name and Position | Nick P Mehta (PHYSICIAN) |
| Authorized Official Contact | 7322441080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nikunj Mehta Mdpa 9 Mule Rd Ste E14 Toms River NJ 08755-5053 Ph: (732) 244-1080 | Nikunj Mehta Mdpa 9 Mule Rd Ste E14 Toms River NJ 08755-5053 Ph: (732) 244-1080 |
| NPI Number | 1134142946 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 08/25/2009 |
| Medicare PECOS PAC ID | 5193897247 |
|---|---|
| Medicare Enrollment ID | O20080707000196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134142946 | NPI | - | NPPES |
| DO9560 | Other | NJ | RAILROAD MEDICARE |
| 39477203 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA43305 (New Jersey) | Primary |
| Provider Name | Nikunj P Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821017344 PECOS PAC ID: 6305879370 Enrollment ID: I20050912000704 |
| Provider Name | Margaret Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427020783 PECOS PAC ID: 7315120854 Enrollment ID: I20110322000270 |
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