Individual provider Active NPI

Pooja Kaushik Vani Schleicher

  • Pediatrics Physician
  • Woodbury, NJ
National Provider Identifier
1366765554
Registry record updated Aug 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA09119000 Issued in NJ
Practice address
307 S Evergreen Ave
Woodbury, NJ 08096-2739
Phone
(908) 522-5665
NPI assigned
Mar 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA09119000 NJ Primary

Addresses

Primary practice location

307 S Evergreen Ave
Woodbury, NJ 08096-2739

Mailing address

307 S Evergreen Ave
Woodbury, NJ 08096-2739

Other names 1

  • Pooja Kaushik Vani Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120725000029 NJ Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 3274799960 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Bank Emergency Physicians LLC CurrentSince Feb 7, 2017 Accepting new patients
Emergency Physician Associates of North Jersey P C CurrentSince Jun 9, 2012 Accepting new patients

Locations

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300

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": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504137600000",
    "number": "1366765554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S EVERGREEN AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S EVERGREEN AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962739",
            "telephone_number": "908-522-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLEICHER",
        "first_name": "POOJA",
        "middle_name": "KAUSHIK VANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-02",
        "last_updated": "2017-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA09119000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "POOJA",
            "last_name": "VANI",
            "middle_name": "KAUSHIK",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodbury, NJ

Sources for this page

Verify at the official NPI Registry.