Dr. Jay Mehta
Pediatric Rheumatologist
3401 Civic Center Blvd
Philadelphia
, Pennsylvania 19104
Dr. Jay Mehta
Pediatric Rheumatologist
3401 Civic Center Blvd
Philadelphia
, Pennsylvania 19104
(267) 425-9299
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About
Features
Specialties
- Pediatric Rheumatologist
Languages spoken
- English
Location
First Address
- Dr. Jay Mehta
- 100 Penn Square East 9th Floor North Tower
- Philadelphia, PA
- Zip : 19107
- Fax : (267) 425-9299
- Phone : (267) 425-9200
Second Address
- Dr. Jay Mehta
- 3401 Civic Center Blvd
- Philadelphia, PA
- Zip : 19104
- Fax : (215) 590-4750
- Phone : (215) 590-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0216X | Pediatric Rheumatologist | MD428659 | PA |
National Provider Identifier
| NPI | 1902003106 |
|---|---|
| Provider Name | Dr. Jay Mehta |
| First Address | Philadelphia, PA 19107 |
| Second Address | Philadelphia, PA 19104 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2007 |
| Last Update Date | 04/12/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1022992940002 | (05) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.