Individual provider Active NPI

Pooja Mehta, MD

  • Family Medicine Physician
  • Scotch Plains, NJ
National Provider Identifier
1821481425
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA10228500 Issued in NJ
Practice address
1814 E 2ND St # 4
Scotch Plains, NJ 07076-1751
Phone
(908) 322-6611
Fax
(908) 322-8665
NPI assigned
Mar 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 25MA10228500 NJ Primary

Addresses

Primary practice location

1814 E 2ND St # 4
Scotch Plains, NJ 07076-1751

Mailing address

1814 E 2ND St # 4
Scotch Plains, NJ 07076-1751
Phone (908) 322-6611

Other identifiers 1

IdentifierTypeStateIssuer
25MA10228500OtherNJSTATE LICENSE

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
I20180118000921 NJ Practitioner - Family Practice 0941598353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1814 E 2ND St
Suite 4
Scotch Plains, NJ 07076-1751
Phone (908) 322-6611

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10228500NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Physician Inc. Single Specialty CurrentSince Mar 1, 2018 Accepting new patients
Garden State Family Care Inc Single Specialty CurrentSince Jan 1, 2022 Accepting new patients
Temple Physicians Inc CurrentSince Mar 1, 2018 Accepting new patients
Temple Physicians Inc Single Specialty Current Accepting new patients

Locations

1814 E 2nd St
Ste 4
Scotch Plains, NJ 07076

1814 E 2nd St
#4
Scotch Plains, NJ 07076
Phone (908) 322-6611

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

2118 Cottman Ave
Philadelphia, PA 19149
Phone (215) 342-3020

11000 Roosevelt Blvd
#360
Philadelphia, PA 19116
Phone (215) 677-1475

11000 Roosevelt Blvd
Unit 360
Philadelphia, PA 19116
Phone (215) 677-1475

Organizations & group practices 4

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": "1425600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1821481425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 E 2ND ST # 4",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761751",
            "telephone_number": "908-322-6611",
            "fax_number": "908-322-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 E 2ND ST # 4",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761751",
            "telephone_number": "908-322-6611",
            "fax_number": "908-322-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "POOJA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-06",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10228500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "25MA10228500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotch Plains, NJ

Sources for this page

Verify at the official NPI Registry.