NPIMap

Individual provider Active NPI

Pooja Malhotra

  • Nephrology Physician
  • South Orange, NJ
National Provider Identifier
1376738112
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA08752000 Issued in NJ
Practice address
707 S Orange Ave
South Orange, NJ 07079-2698
Phone
(973) 762-4720
NPI assigned
Sep 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08752000 NJ
Nephrology Physician 207RN0300X 25MA08752000 NJ Primary

Addresses

Primary practice location

707 S Orange Ave
South Orange, NJ 07079-2698

Mailing address

28 Sandalwood Dr
Livingston, NJ 07039-1409
Phone (908) 230-0984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20110106000805 NJ Practitioner - NephrologyPractitioner - Internal Medicine 1759570799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Essex Renal and Medical Group,LLCGroup PAC ID 5294708095, 5 clinicians

Practice addresses (Care Compare)

511 S Orange Ave
South Orange, NJ 07079-2636
Phone (973) 762-4720

Hospital & facility affiliations

  • FMC Orange Dialysis facility, Orange, NJ, CCN 312533
  • FMC Hillside Dialysis facility, Union, NJ, CCN 312506
  • DaVita East Orange Dialysis Dialysis facility, East Orange, NJ, CCN 312522
  • Alaris Health at Essex Dialysis facility, Irvington, NJ, CCN 312676
  • FMC Irvington Dialysis facility, Irvington, NJ, CCN 312501
  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
  • Newark Beth Israel Medical Center Hospital, Newark, NJ, CCN 310002
  • Carewell Health Medical Center Hospital, East Orange, NJ, CCN 310083
  • Saint Michael'S Medical Center Hospital, Newark, NJ, CCN 310096

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Essex Renal & Medical Group,LLC Internal Medicine CurrentSince Sep 18, 2010 Accepting new patients

Locations

511 S Orange Ave
South Orange, NJ 07079
Phone (973) 200-3600

707 S Orange Ave
South Orange, NJ 07079
Phone (973) 761-1140

Interoperability endpoints

  • Direct secure messaging: poojam@essexramgroup.ehi.direct-ci.com

Organizations & group practices 1

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.

Hospital & facility affiliations 9

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": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1376738112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 SANDALWOOD DR",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391409",
            "telephone_number": "908-230-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S ORANGE AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792698",
            "telephone_number": "973-762-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALHOTRA",
        "first_name": "POOJA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08752000",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA08752000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Orange, NJ

Sources for this page

Verify at the official NPI Registry.