Active NPI
Pooja M. Phull, MD
- Hematology (Internal Medicine) Physician
- Hackensack, NJ
National Provider Identifier
1104245315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology (Internal Medicine) Physician
- License
- 25MA11209900
- Practice address
- 92 2ND St
Hackensack, NJ 07601-2191 - Phone
- (551) 996-8704
- Fax
- (551) 996-0582
- NPI assigned
- Apr 15, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 25MA11209900 | NJ | |
| Hematology (Internal Medicine) Physician | 207RH0000X | 25MA11209900 | NJ | Primary |
Addresses
Primary practice location
92 2ND St
Hackensack, NJ 07601-2191
Mailing address
92 2ND St
Hackensack, NJ 07601-2191
Other practice location 1
7650 River Rd Ste 200
North Bergen, NJ 07047-6527
Phone (201) 464-0008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Tufts University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
218 A Sunset Rd
Willingboro, NJ 08046-1110
Phone (609) 835-2900
30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (844) 346-7222
Hospital & facility affiliations
- Hackensack University Medical Center
- Palisades Medical Center
- JFK University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.1 of 100
- Quality
- 51.56
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11209900 | NJ | MD | Hematology (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Cancer Care Associates LLC | Current | Accepting new patients | |
| Totowa Cancer Center | Current | Accepting new patients | |
| Regional Cancer Care Associates LLC | Current | Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
100 1st St
Ste 301
Hackensack, NJ 07601
Phone (551) 996-5848
92 2nd St
Hackensack, NJ 07601
Phone (551) 996-2210
7650 River Rd
Ste 200
North Bergen, NJ 07047
Phone (201) 464-0008
225 Minnisink Rd
Totowa, NJ 07512
Phone (862) 657-3000
Organizations & group practices 3
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.
-
- Hematology & Oncology Physician
- Toms River, NJ
- NPI 1801850243
-
- Radiation Oncology Clinic/Center
- Totowa, NJ
- NPI 1225777808
-
- Hematology & Oncology Physician
- Belleville, NJ
- NPI 1447315502
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
- General Acute Care Hospital
- North Bergen, NJ
- NPI 1730692344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1104245315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 2ND ST",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076012191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 2ND ST",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076012191",
"telephone_number": "551-996-8704",
"fax_number": "551-996-0582"
}
],
"practiceLocations": [
{
"address_1": "7650 River Rd Ste 200",
"address_purpose": "LOCATION",
"city": "North Bergen",
"state": "NJ",
"postal_code": "070476527",
"country_code": "US",
"telephone_number": "201-464-0008",
"fax_number": "201-662-1267",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHULL",
"first_name": "POOJA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-15",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "NJ",
"license": "25MA11209900",
"primary": false
},
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "NJ",
"license": "25MA11209900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.