Active NPI
Pooja Mehta, MD
- Family Medicine Physician
- Scotch Plains, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA10228500
- 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
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 |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25MA10228500 | Other | NJ | STATE 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10228500 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple Physician Inc. | Single Specialty | Current | Accepting new patients |
| Garden State Family Care Inc | Single Specialty | Current | Accepting new patients |
| Temple Physicians Inc | Current | 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.
-
- Internal Medicine Physician
- Scotch Plains, NJ
- NPI 1962155598
Single Specialty
-
- Internal Medicine Physician
- Feasterville Trevose, PA
- NPI 1174497366
Single Specialty
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1740729797
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.