Healthcare Provider Details

I. General information

NPI: 1134665193
Provider Name (Legal Business Name): NHPE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2017
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1991 MARCUS AVE SUITE M202
NEW HYDE PARK NY
11042-2057
US

IV. Provider business mailing address

1991 MARCUS AVE SUITE M202
NEW HYDE PARK NY
11042-2057
US

V. Phone/Fax

Practice location:
  • Phone: 317-796-7565
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. NILESH MEHTA
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 646-281-1103