Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0216X | Pediatric Rheumatologist | 25MA09594600 | NJ |
N | 2080P0216X | Pediatric Rheumatologist | 262636 | NY |
NPI | 1962648832 |
---|---|
Provider Name | Dr. Jaya Srinivasan-Mehta |
First Address | Paterson, NJ 07503-2621 |
Second Address | Paterson, NJ 07503-2621 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/12/2008 |
Last Update Date | 11/02/2015 |