Pooja Rambhia, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Evesham, NJ

NPI 1083173827 · NPPES record last updated May 6, 2026

Key facts

NPI
1083173827
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
10000 Sagemore Dr Ste 10103
Evesham, NJ 08053-3944
Phone
(856) 596-3040
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 8

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.

Medicare Care Compare profile

Specialty
Dermatology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Medical Group of the Hudson Valley PC (134 clinicians)

Practice addresses (Care Compare)

243 N Rd
Suite 101
Poughkeepsie, NY 12601-1173
Phone (845) 471-9410

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions41
Skin biopsy30

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240807001900 NY Practitioner - Dermatology 8022349398 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles (6 of 10)

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC Current
since Jun 30, 2024
Accepting new patients
Premier Medical Group of the Hudson Valley, P.C. Current
since Dec 1, 2024
Accepting new patients
Premier Medical Group of the Hudson Valley P.C. Current
since Dec 1, 2024
Accepting new patients
North Shore-Lij Medical PC Current
since Jun 30, 2024
Accepting new patients
CMC Department of Medicine Group PA Past Accepting new patients
CMC Department of Medicine Past Accepting new patients

Locations

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

1991 Marcus Ave
Ste 300
North New Hyde Park, NY 11042
Phone (516) 321-8509

300 Community Dr
Plandome, NY 11030

243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251

243 North Rd
Ste 101
Poughkeepsie, NY 12601
Phone (845) 471-9410

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: prambhia@premiermedicalhv.medentdirect.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

10000 Sagemore Dr Ste 10103
Evesham, NJ 08053-3944

Mailing address

1 Gustave L Levy PL FL 12
New York, NY 10029-6574
Phone (516) 870-8632

Other providers in Evesham, NJ

All providers in Evesham, NJ · Student in an Organized Health Care Education/Training Program in New Jersey

Sources for this page

Verify at the official NPI Registry.