Individual provider Active NPI

Pooja D Patel, R.D.

  • Registered Dietitian
  • North Bergen, NJ
National Provider Identifier
1790413532
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
705 87TH St
North Bergen, NJ 07047-5106
Phone
(201) 378-8780
NPI assigned
Aug 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

705 87TH St
North Bergen, NJ 07047-5106

Mailing address

PO Box 313
Montville, NJ 07045-0313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NY, NJ, TX4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20251105004164 AZ Practitioner - Registered Dietitian Or Nutrition Professional 7911497250 Reassigns benefits to 1 organization
I20251106000355 NY Practitioner - Registered Dietitian Or Nutrition Professional 7911497250 Reassigns benefits to 1 organization
I20251106004023 NJ Practitioner - Registered Dietitian Or Nutrition Professional 7911497250 Reassigns benefits to 1 organization
I20251120000304 TX Practitioner - Registered Dietitian Or Nutrition Professional 7911497250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Surely Health IncGroup PAC ID 3072960491, 47 clinicians

Practice addresses (Care Compare)

130 E Congress St
Suite 200 139
Tucson, AZ 85701-1708
Phone (724) 307-5926

6565 N Macarthur Blvd
Suite 225
Irving, TX 75039-2482
Phone (888) 807-4117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011208NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Season Medical Care Ny PC Dietitian, Registered CurrentSince Nov 1, 2025 Accepting new patients
Surely Health, Inc. Dietitian, Registered CurrentSince Nov 1, 2025 Accepting new patients
Season Clinical Care NJ PC Dietitian, Registered CurrentSince Nov 1, 2025 Accepting new patients
Lotus Nutrition & Wellness Dietitian, Registered CurrentSince Oct 2, 2022 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients
H-E-B, LP PastSince Nov 1, 2025 Accepting new patients
Season Clinical Care P.a. Dietitian, Registered PastSince Nov 1, 2025 Accepting new patients

Locations

130 E Congress St
Ste 200139
Tucson, AZ 85701
Phone (724) 307-5926

1719 Highway 10
Parsippany, NJ 07054

1719 Highway 10
Ste 300
Parsippany, NJ 07054

300 Cadman Plz W
Ste 1
Brooklyn, NY 11201

6565 N MacArthur Blvd
Ste 225
Irving, TX 75039
Phone (972) 635-0489

1710 Keller Pkwy
Keller, TX 76248
Phone (210) 201-2364

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1790413532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 313",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070450313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 87TH ST",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475106",
            "telephone_number": "201-378-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "POOJA",
        "middle_name": "D",
        "name_prefix": "Miss",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.