Active NPI
Pooja Shenoy
- Physician Assistant
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C5-0001115
- Practice address
- 4755 Ogletown Stanton Rd
Suite 5A43
Newark, DE 19718-2200 - Phone
- (302) 623-0188
- NPI assigned
- Jan 26, 2017
- Last updated
- Feb 15, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C5-0001115 | DE | Primary |
Addresses
Primary practice location
4755 Ogletown Stanton Rd
Suite 5A43
Newark, DE 19718-2200
Mailing address
4755 Ogletown Stanton Rd
Suite 5A43
Newark, DE 19718-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3400 Spruce St
Philadelphia, PA 19104-4226
PO Box
Philadelphia, PA 19182
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57518 | CA | MD | Rehabilitation Practitioner |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nephrology Physician
- Philadelphia, PA
- NPI 1629181912
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hospital of the University of Pennsylvania
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487116800000",
"number": "1427595677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4755 OGLETOWN STANTON RD",
"address_2": "SUITE 5A43",
"city": "NEWARK",
"state": "DE",
"postal_code": "197182200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4755 OGLETOWN STANTON RD",
"address_2": "SUITE 5A43",
"city": "NEWARK",
"state": "DE",
"postal_code": "197182200",
"telephone_number": "302-623-0188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHENOY",
"first_name": "POOJA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-26",
"last_updated": "2017-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DE",
"license": "C5-0001115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.