Individual provider Active NPI

Pooja Tandon, MD

  • Geriatric Psychiatry Physician
  • Red Bank, NJ
National Provider Identifier
1922377258
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
25MA09829300 Issued in NJ
Practice address
119 Maple Ave
Red Bank, NJ 07701-1764
Phone
(732) 655-4568
NPI assigned
Dec 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 25MA09829300 NJ Primary

Addresses

Primary practice location

119 Maple Ave
Red Bank, NJ 07701-1764

Mailing address

253 Main St Ste 161
Matawan, NJ 07747-3222
Phone (516) 713-1134

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
I20160826001512 NJ Practitioner - Psychiatry 4688969868 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

6045 Kennedy Blvd
North Bergen, NJ 07047-3246
Phone (201) 861-4443

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09829300NJMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paramount Psych LLC Current Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Aug 1, 2016 Accepting new patients
Life Excel, LLC CurrentSince Apr 26, 2017 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Jul 1, 2019 Accepting new patients
Paramant Psych LLC Geriatric Psychiatry Current Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Jul 1, 2019 Accepting new patients
A.G. Dikengil, MD, PA Past Accepting new patients
Ocean Orthopedic Associates, P.a. PastSince Oct 1, 2017 Accepting new patients
Riverside Medical Group Past Accepting new patients

Locations

35 Beaverson Blvd
Ste 1D
Brick, NJ 08723
Phone (732) 920-7932

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

6045 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 861-4443

221 Park Ave
Rutherford, NJ 07070
Phone (201) 293-0976

1691 US Highway 9
Toms River, NJ 08755
Phone (732) 914-1688

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Interoperability endpoints

  • Direct secure messaging: ptandon87722@direct.optum.com

Organizations & group practices 9

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": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1922377258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 MAIN ST STE 161",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473222",
            "telephone_number": "516-713-1134",
            "fax_number": "929-200-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 MAPLE AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011764",
            "telephone_number": "732-655-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANDON",
        "first_name": "POOJA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-15",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NJ",
            "license": "25MA09829300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.