Provider Demographics
NPI:1750932596
Name:VARSHA B MEHTA
Entity type:Organization
Organization Name:VARSHA B MEHTA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:VARSHA
Authorized Official - Middle Name:B
Authorized Official - Last Name:MEHTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-809-6856
Mailing Address - Street 1:14 VILLAGE CT
Mailing Address - Street 2:
Mailing Address - City:HAZLET
Mailing Address - State:NJ
Mailing Address - Zip Code:07730-1531
Mailing Address - Country:US
Mailing Address - Phone:732-888-1533
Mailing Address - Fax:
Practice Address - Street 1:14 VILLAGE CT
Practice Address - Street 2:
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-1531
Practice Address - Country:US
Practice Address - Phone:732-888-1533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1110306Medicaid
NJ1235229022OtherNPI
NJBM2220349OtherDEA