Mehlman, Jay Kenneth

Mehlman, Jay Kenneth is an sole proprietor health care provider with primary practice located at 11412 Beach Channel Dr Ste 10 , Rockaway Park NY 11694-2212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mehlman, Jay Kenneth can be contacted via phone (718) 318-0800.

Contact Information

Primary practice address
11412 Beach Channel Dr Ste 10 Rockaway Park NY 11694-2212
Phone: (718) 318-0800
Fax: (718) 318-0440
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 201048 New York

Profile Details

NPI number 1649251885
LBN Legal business name Mehlman, Jay Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2005
Last updated Feb 6th, 2026 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649251885 NPPES
New York MEDICAID 02115704

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