Organization Active NPI

Neeta S. Pohani M.D. P.a.

  • Primary Care Clinic/Center
  • Newberry, FL
National Provider Identifier
1942572052
Registry record updated Feb 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME80856 Issued in FL
Legal business name
NEETA S. POHANI M.D. P.A.
Practice address
19913 W Newberry Rd Ste a
Newberry, FL 32669-2181
Phone
(352) 472-5775
Fax
(352) 472-5761
NPI assigned
Feb 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2012

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

Authorized official

Name
Dr. Neeta S Pohani, M.D.NPI 1932246873
Title
President
Phone
(352) 472-5775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME80856 FL Primary

Addresses

Primary practice location

19913 W Newberry Rd Ste a
Newberry, FL 32669-2181

Mailing address

19913 W Newberry Rd Ste a
P.O.Box 1287
Newberry, FL 32669-2181
Phone (352) 472-5775

Other identifiers 1

IdentifierTypeStateIssuer
264986100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120206000769 FL Part B Supplier - Clinic/Group Practice 7810154689 Receives reassigned benefits from 1 practitioner
Practice locations: Newberry, FL

National Provider Directory

National Provider Directory

Locations

19913 W Newberry Rd
Ste A
Newberry, FL 32669
Phone (352) 472-5775

19913 W Newberry Rd
#A
Newberry, FL 32669
Phone (352) 472-5775

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328313600000",
    "number": "1942572052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19913 W NEWBERRY RD STE A",
            "address_2": "P.O.BOX 1287",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326692181",
            "telephone_number": "352-472-5775",
            "fax_number": "352-472-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19913 W NEWBERRY RD STE A",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326692181",
            "telephone_number": "352-472-5775",
            "fax_number": "352-472-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEETA S. POHANI M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-04",
        "last_updated": "2012-02-04",
        "status": "A",
        "authorized_official_last_name": "POHANI",
        "authorized_official_first_name": "NEETA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-472-5775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME80856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264986100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2012; 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.