Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013310267 Individual Practitioner Female Practitioner

Dr. Shiva Mehta , MD

Pediatrics • Randolph, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Shiva Mehta, MD is a registered healthcare professional specializing in Pediatrics in Randolph, NJ. Practice services are available at 765 NJ-10 #203 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

765 Nj-10 #203
#203

Randolph, NJ 07869

Telephone 9736599991
Associated Practice Facility / Clinic
🏢 College Plaza Pediatrics Facility NPI 1417083403

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Randolph, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.6 Yrs
Regional Practice Density
12 Specialists

Practicing in Randolph, NJ (2321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NJ 25MA09318700

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
223765275 (NJ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
NPI 1053831479

Doctor of Medicine (M.D.)

Barbara Baggstrom , CPNP

Nurse Practitioner

NPI 1104894989

Certified Pediatric Nurse Practitioner

NPI 1154432276

Doctor of Medicine (M.D.)

Doctor of Nursing Practice, Advanced Practice Nurse, CPNPPC

Dr. Beth Gelman , MD

Pediatrics - Adolescent Medicine

NPI 1295838530

Doctor of Medicine (M.D.)

Samantha Breitbart , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1336815984

CPNPPC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location December 15, 2023

Registered at 765 NJ-10 #203, #203, RANDOLPH, NJ 07869 (Tel: 9736599991)

NPI Profile Active October 02, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 02, 2014

Registered at 1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 079222104 (Tel: 9082778900)

📍
Updated Business Mailing Address October 02, 2014

Registered at 63 BEVERLY RD, SPRINGFIELD, NJ 070813001 (Tel: 3102512226)

👤
Provider Name / Credentials Updated October 02, 2014

Recorded as SHIVA MEHTA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2014

Pediatrics (License #25MA09318700 in NJ)

🟢
Initial NPI Registration & Enumeration October 02, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013310267
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2014
Last Update: December 15, 2023
Sole Proprietor: Yes

Mailing Address

63 Beverly Rd

Springfield, NJ 070813001

Phone: 3102512226

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.