Individual provider Active NPI

Nitin Pothen

  • Psychiatry Physician
  • Brick, NJ
National Provider Identifier
1821550948
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA11631700 Issued in NJ
Practice address
1610 Route 88 FL 3
Brick, NJ 08724-3018
Phone
(732) 295-6543
NPI assigned
Apr 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA11631700 NJ Primary

Addresses

Primary practice location

1610 Route 88 FL 3
Brick, NJ 08724-3018

Mailing address

1610 Route 88 FL 3
Brick, NJ 08724-3018
Phone (732) 295-6549

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
I20230525000100 NJ Practitioner - Psychiatry 1052777562 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1140 Route 72 W
Manahawkin, NJ 08050-2412
Phone (609) 597-6011

1610 Route 88
Brick, NJ 08724-3018

1944 Route 33
Neptune, NJ 07753
Phone (732) 776-3787

1945 Route 33
Neptune, NJ 07753

3600 Route 66
FL 3
Neptune, NJ 07753

727 N Beers St
Holmdel, NJ 07733-1514
Phone (732) 714-2700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Behavioral Health of New Jersey, Inc. Current Accepting new patients
Preferred Behavioral Health of New Jersey, Inc CurrentSince Oct 1, 2023 Accepting new patients
Preferred Behavioral Health of New Jersey, Inc CurrentSince Oct 1, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jul 5, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Psychiatry CurrentSince Jul 5, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC PastSince Oct 23, 2022 Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

700 Airport Rd
Lakewood, NJ 08701
Phone (732) 458-1700

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

1610 State Route 88
Fl 3
Wall Township, NJ 08724
Phone (732) 295-6543

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 6

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 1

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": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1821550948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 ROUTE 88 FL 3",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243018",
            "telephone_number": "732-295-6549",
            "fax_number": "732-791-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 ROUTE 88 FL 3",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243018",
            "telephone_number": "732-295-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTHEN",
        "first_name": "NITIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-05",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA11631700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.