Individual provider Active NPI

Pooja Bhargava, DO

  • Internal Medicine Physician
  • Livingsten, NJ
National Provider Identifier
1619403128
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA11717800 Issued in NJ
Practice address
200 South Orange Ave Suite 101
Livingsten, NJ 07039
Phone
(973) 322-7095
Fax
(212) 280-4743
NPI assigned
May 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 314526 NY
Student in an Organized Health Care Education/Training Program 390200000X OT017732 PA
Internal Medicine Physician 207R00000X 25MA11717800 NJ Primary

Addresses

Primary practice location

200 South Orange Ave Suite 101
Livingsten, NJ 07039

Mailing address

200 South Orange Ave Suite 101
Livingsten, NJ 07039
Phone (212) 280-4740

Other practice location 1

55 E 87th St Ste 1F
New York, NY 10128-1049
Phone (212) 280-4740

Other practice location 2

535 W 110th St Apt 1E
New York, NY 10025-2021
Phone (212) 280-4740

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
I20230417001532 NJ Practitioner - Internal Medicine 8527334382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rwjbh Primary Care ServicesGroup PAC ID 0749699346, 266 clinicians

Practice addresses (Care Compare)

200 S Orange Ave
Livingston, NJ 07039-5817
Phone (973) 325-3606

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
314526NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rwjbh Primary Care Services Internal Medicine CurrentSince Apr 10, 2023 Accepting new patients
Westside Family Medicine PLLC. PastSince May 29, 2025 Accepting new patients

Locations

200 S Orange Ave
Ste 101
Livingston, NJ 07039
Phone (973) 322-7580

25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262

166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

766 Shrewsbury Ave
Ste 100
Tinton Falls, NJ 07724
Phone (732) 945-2009

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

Organizations & group practices 2

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 2

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": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1619403128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SOUTH ORANGE AVE SUITE 101",
            "city": "LIVINGSTEN",
            "state": "NJ",
            "postal_code": "07039",
            "telephone_number": "212-280-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOUTH ORANGE AVE SUITE 101",
            "city": "LIVINGSTEN",
            "state": "NJ",
            "postal_code": "07039",
            "telephone_number": "973-322-7095",
            "fax_number": "212-280-4743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 E 87th St Ste 1F",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101281049",
            "country_code": "US",
            "telephone_number": "212-280-4740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 W 110th St Apt 1E",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100252021",
            "country_code": "US",
            "telephone_number": "212-280-4740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHARGAVA",
        "first_name": "POOJA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-03",
        "last_updated": "2024-02-07",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "314526",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "OT017732",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA11717800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.