Provider Demographics
NPI:1306012638
Name:MEHTA, ANUJ VISHANRAJ (MD)
Entity type:Individual
Prefix:DR
First Name:ANUJ
Middle Name:VISHANRAJ
Last Name:MEHTA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 ORCHARD RD
Mailing Address - Street 2:
Mailing Address - City:DEMAREST
Mailing Address - State:NJ
Mailing Address - Zip Code:07627-1618
Mailing Address - Country:US
Mailing Address - Phone:917-319-4638
Mailing Address - Fax:
Practice Address - Street 1:100 TORMEE DR
Practice Address - Street 2:
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07712-7502
Practice Address - Country:US
Practice Address - Phone:917-319-4638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-06
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY269753207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine