NPIMap

Individual provider Active NPI

Anand Jeevraj Pooleri, MD

  • Physical Medicine & Rehabilitation Physician
  • Camden, NJ
National Provider Identifier
1073142782
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MA12195700 Issued in NJ
Practice address
3 Cooper PLZ RM 411
Camden, NJ 08103-1438
Phone
(856) 342-3098
Fax
(856) 968-8279
NPI assigned
Apr 4, 2020
Last updated
Jun 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 25MA12195700 NJ Primary

Addresses

Primary practice location

3 Cooper PLZ RM 411
Camden, NJ 08103-1438

Mailing address

3 Cooper PLZ RM 411
Camden, NJ 08103-1438
Phone (856) 342-3098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251021004591 NC Practitioner - Physical Medicine and Rehabilitation 0345661260 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Medical CenterGroup PAC ID 4789597477, 1,057 clinicians
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians
Carolinas Physicians Network IncGroup PAC ID 3375449655, shared by 56 NPIs, 2,324 clinicians

Practice addresses (Care Compare)

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000

201 McCullough Dr
Suite 310
Charlotte, NC 28262-3577
Phone (704) 547-1129

3030 Randolph Rd
Suite 105
Charlotte, NC 28211-1365
Phone (704) 863-4878

5651 Poplar Tent Rd
Suite 102
Concord, NC 28027-7686
Phone (704) 782-4878

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA12195700NJMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Oct 6, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Oct 6, 2025 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc Physical Medicine & Rehabilitation CurrentSince Oct 6, 2025 Accepting new patients
Carolinas Medical Center CurrentSince Oct 6, 2025 Accepting new patients
Carolinas Medical Center CurrentSince Oct 6, 2025 Accepting new patients
Carolinas Physicians Network, Inc Past Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

3030 Randolph Rd
Ste 105
Charlotte, NC 28211
Phone (704) 512-4400

270 Copperfield Blvd NE
Ste 102
Concord, NC 28025
Phone (704) 721-2060

5651 Poplar Tent Rd
Ste 102
Concord, NC 28027
Phone (704) 782-4878

Interoperability endpoints

  • Direct secure messaging: apooleri3034457@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 9

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1073142782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ RM 411",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031438",
            "telephone_number": "856-342-3098",
            "fax_number": "856-968-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ RM 411",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031438",
            "telephone_number": "856-342-3098",
            "fax_number": "856-968-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLERI",
        "first_name": "ANAND",
        "middle_name": "JEEVRAJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-04",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA12195700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.