Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 213000 | NY |
N | 207PE0004X | Emergency Medical Services | 25MB06493500 | NJ |
NPI | 1023186624 |
---|---|
Provider Name | Dr. Ragini Mehta |
First Address | Cliffside Park, NJ 07010-1436 |
Second Address | Hoboken, NJ 07030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2006 |
Last Update Date | 02/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02243570 | (05) | NY |
G89266 | (02) | NY |
P00391981 | RAILROAD MEDICINE (01) |