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MEHTA MEDICAL PC
NPI 1861977316
Internal Medicine in Bronx, NY

Active since October 01, 2018CLIA 33D2191643 · Waiver
3979 LACONIA AVE, BRONX, NY 10466(347) 442-7656(347) 442-7049 Get Directions Write a Review

NPPES record last updated: August 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2020, Oct 1, 2018 (2 updates tracked since 2018).

About Mehta Medical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEHTA MEDICAL PC (NPI 1861977316) is a healthcare organization registered as an internal medicine in Bronx, New York and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through August 30, 2026 and lists Neeta Mehta, Owner, as its authorized official.

NPPES Registry Identity

NPI1861977316
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMEHTA MEDICAL PC
Location Address3979 LACONIA AVEBronx, NY 10466-4916
Mailing Address9 De Chiaro LnWilliston Park, NY 11596-1007 · (347) 442-7656 · Fax (347) 442-7049
Phone(347) 442-7656
Fax(347) 442-7049
Organization SubpartNo
Authorized OfficialNeeta MehtaOwner · (718) 909-9378
Enumeration DateOctober 1, 2018
Last NPPES UpdateAugust 14, 20202 updates tracked since enumeration
NPPES CertifiedAugust 14, 2020
✔ NPI 1861977316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3979 LACONIA AVE, Bronx, NY 10466
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Other Identifiers 1

Medicaid182250048NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2191643

Mehta Medical PC · Bronx, NY
Active · expires Aug 30, 2026
CLIA Number33D2191643
Laboratory TypePhysician Office
Certificate Effective DateAugust 31, 2024
Certificate Expiration DateAugust 30, 2026
Laboratory DirectorDr. Neeta Mehta
Laboratory Phone(347) 442-7656
Laboratory LocationMehta Medical PC3979 Laconia Avenue, Bronx, NY 10466
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. SHARAD KOTHARI MD
Internal Medicine (Geriatric Medicine)
3979 LACONIA AVE
BRONX, NY 10466
Bronx County (347) 442-7656
NEETA MEHTA M.D.
Internal Medicine
3979 LACONIA AVE
BRONX, NY 10466
Bronx County (347) 442-7656
PAPAS PHARMACY
Pharmacy (Community/Retail Pharmacy)
3979 LACONIA AVE
BRONX, NY 10466
Bronx County (347) 947-9500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mehta Medical PC's NPI number?

The NPI number for Mehta Medical PC is 1861977316. It was assigned to this organization in the NPPES registry on October 1, 2018.

Where is Mehta Medical PC located?

Mehta Medical PC is located at 3979 Laconia Ave, Bronx, NY 10466. The listed phone number is (347) 442-7656.

What is Mehta Medical PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Mehta Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2191643) is associated with this NPI, valid through August 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mehta Medical PC was last updated on August 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.