1649068974 NPI number — JAY AJAY MEHTA MBBS

Table of content: CHRISTINE A. MULLANEY P.A. (NPI 1972606432)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649068974 NPI number — JAY AJAY MEHTA MBBS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MEHTA
Provider First Name:
JAY
Provider Middle Name:
AJAY
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MBBS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649068974
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/22/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3231 MCMULLEN BOOTH ROAD
Provider Second Line Business Mailing Address:
MEASE COUNTRYSIDE HOSPITAL
Provider Business Mailing Address City Name:
SAFETY HARBOR
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34695
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-270-3499
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
MEASE COUNTRYSIDE HOSPITAL
Provider Second Line Business Practice Location Address:
3231 MCMULLEN BOOTH RD
Provider Business Practice Location Address City Name:
SAFETY HARBOR
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34695
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-725-6111
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/28/2025

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)