Individual provider Active NPI

Pooja Prasad Mahadev, O.D.

  • Optometrist
  • Jersey City, NJ
National Provider Identifier
1306490750
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
270A00723300 Issued in NJ
Practice address
127 Newark Ave
Jersey City, NJ 07302-5862
Phone
(201) 333-2768
Fax
(954) 262-3904
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002790 VA
Optometrist 152W00000X OPFC92 FL
Optometrist 152W00000X 270A00723300 NJ Primary

Addresses

Primary practice location

127 Newark Ave
Jersey City, NJ 07302-5862

Mailing address

PO Box 290370
Davie, FL 33329-0370
Phone (954) 262-4397

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240223002867 NJ Practitioner - Optometry 3072841477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS. Savoy and Siegel LLCGroup PAC ID 6305832759, 3 clinicians

Practice addresses (Care Compare)

127 Newark Ave
Jersey City, NJ 07302-5862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPFC92FLMDOptometrist
270A00723300NJMDOptometrist
0618002790VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Savoy & Siegel LLC Optometrist CurrentSince Feb 1, 2024 Accepting new patients
Nova Southeastern University, Inc PastSince Aug 4, 2021 Accepting new patients
Associated Eye Physicians & Surgeons of N.J., P.a. PastSince Feb 25, 2024 Accepting new patients

Locations

127 Newark Ave
Ste 1
Jersey City, NJ 07302
Phone (201) 333-2768

127 Newark Ave
Jersey City, NJ 07302
Phone (201) 333-2768

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1306490750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290370",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333290370",
            "telephone_number": "954-262-4397",
            "fax_number": "954-262-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 NEWARK AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073025862",
            "telephone_number": "201-333-2768",
            "fax_number": "954-262-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHADEV",
        "first_name": "POOJA",
        "middle_name": "PRASAD",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002790",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPFC92",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00723300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.