Pooja Vinay Mahadevan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

024622 Issued in NY

Practice address

2310 65TH St
Brooklyn, NY 11204-4088

Phone

(718) 336-1136

NPI assigned

Oct 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• All Neurological Services PC

  • Legal Medicine
  • Brooklyn, NY
  • NPI 1881711596
  Medicare reassignment NPD
• SK Neurology PC

  • Neurology Physician
  • Brooklyn, NY
  • NPI 1578108635
  NPD (past)

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1881846129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SENATOR ST",
            "address_2": "APT 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 65TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044088",
            "telephone_number": "718-336-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHADEVAN",
        "first_name": "POOJA",
        "middle_name": "VINAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alnashia Mahabeir
• Timothy Mahabir
• Muthoni Mahachi
• Anupam Mahadeo, MD
• Emily Anne Mahadeo, DCN, RD
• Vilas Baburao Mahadik, BDS.MDS
• Aakash Mahajam, MBBS
• Geeti Mahajan, M.D.
• Jasmine Mahajan, MD
• Nakul Mahajan, MBBS

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.