Pooja Mahtani

Primary specialty

NutritionistTaxonomy code 133N00000X

License

DN006723 Issued in PA

Practice address

200 Eagle Rd Ste 208
Wayne, PA 19087-3115

Phone

(888) 702-7974

NPI assigned

Jul 11, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Integrative Rehabilitation PLLC

  dba Philadelphia Integrative Medicine

  • Clinic/Center
  • Wayne, PA
  • NPI 1083035653
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1033897871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 KENNETH RD",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070432542",
            "telephone_number": "862-371-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EAGLE RD STE 208",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873115",
            "telephone_number": "888-702-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHTANI",
        "first_name": "POOJA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PA",
            "license": "DN006723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn R Macmurtrie, BCBA
• Meghan Kathleen Macomber, MA, CCC-SLP
• Alyssa Jacqueline Magee
• Kaylin Magosin, MS, OTR/L
• Priya Maheshwari
• Main Line Day, LLC
• Main Line Dental Group PC
• Main Line Dermatology, Inc.
• Main Line Nutrition and Fitness LLC
• Main Line Physical Therapy LLC

• Nutritionist in Wayne, PA
• Providers in Wayne, PA by specialty
• Nutritionist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.