Healthcare Provider Details

I. General information

NPI: 1942264452
Provider Name (Legal Business Name): SUBHASH GOPAL MEHTA,MD,PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 BANK ST STE 160
CAPE MAY NJ
08204-1488
US

IV. Provider business mailing address

13 MECHANIC ST
CAPE MAY COURT HOUSE NJ
08210-4221
US

V. Phone/Fax

Practice location:
  • Phone: 609-465-2299
  • Fax:
Mailing address:
  • Phone: 609-465-2305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMA03590200
License Number StateNJ

VIII. Authorized Official

Name: DR. SUBHASH G MEHTA
Title or Position: OWNER
Credential:
Phone: 609-465-2299