Active NPI
Pooja Kadakia, OD
- Optometrist
- West New York, NJ
National Provider Identifier
1750055083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00707500
- Practice address
- 5618 Bergenline Ave
West New York, NJ 07093-1232 - Phone
- (201) 366-2020
- NPI assigned
- Aug 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 009395 | NY | |
| Optometrist | 152W00000X | 27OA00707500 | NJ | Primary |
Addresses
Primary practice location
5618 Bergenline Ave
West New York, NJ 07093-1232
Mailing address
1111 Harding Cir
Chester Springs, PA 19425-3812
Phone (732) 861-4306
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230315000568 | NJ | Practitioner - Optometry | 6406220458 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009395 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745712000000",
"number": "1750055083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 HARDING CIR",
"city": "CHESTER SPRINGS",
"state": "PA",
"postal_code": "194253812",
"telephone_number": "732-861-4306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5618 BERGENLINE AVE",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070931232",
"telephone_number": "201-366-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KADAKIA",
"first_name": "POOJA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-02",
"last_updated": "2025-04-27",
"certification_date": "2025-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "009395",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00707500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West New York, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.