Active NPIIndividual providerSole proprietor

Pooja P Mahadev, OD

Optometrist in Jersey City, New Jersey

NPI Number1306490750
Practice location
127 Newark Ave, Jersey City, NJ 07302-5862
Fax
954-262-3904
Last updated
February 23, 2024

Pooja Prasad Mahadev is an Optometrist based in Jersey City, NJ. Pooja Prasad Mahadev practices in Jersey City, NJ and has the professional credentials of OD. The NPI Number for Pooja Prasad Mahadev is 1306490750 and holds a License No. 0618002790 (VA). The current practice location address for Pooja Prasad Mahadev is 127 Newark Ave, Jersey City, NJ 07302-5862 and can be reached out via phone at 201-333-2768 and via fax at 954-262-3904.

Provider Profile Details

NPI Number
1306490750
Provider Name
Pooja Prasad Mahadev
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
127 Newark Ave, Jersey City, NJ 07302-5862
Phone Number
201-333-2768
Fax Number
954-262-3904
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 24, 2019
Last Update Date
February 23, 2024
Certification Date
February 23, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
127 Newark Ave
Jersey City, NJ 07302-5862
Zip
07302-5862
Phone Number
201-333-2768
Fax Number
954-262-3904
Jersey City, NJ 07302Get directions →

Provider Business Mailing Address Details

Address
Po Box 290370
Davie, FL 33329-0370
City
Davie
State
FL
Zip
33329-0370
Phone Number
954-262-4397
Fax Number
954-262-2269

License Information

License Number (1)
0618002790
License State (1)
VA
Taxonomy (1)
Optometrist · 152W00000X
License Number (2)
OPFC92
License State (2)
FL
Taxonomy (2)
Optometrist · 152W00000X
License Number (3)
270A00723300
License State (3)
NJ
Taxonomy (3)
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Pooja P Mahadev, OD?

The NPI number of Pooja P Mahadev, OD is 1306490750. It was assigned on July 24, 2019 and is currently active in the NPPES registry.

What is the specialty of Pooja P Mahadev, OD?

Pooja P Mahadev, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in VA under license number 0618002790.

Where does Pooja P Mahadev, OD practice?

The practice location is 127 Newark Ave, Jersey City, NJ 07302-5862. The office can be reached at 201-333-2768 (phone) or 954-262-3904 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306490750 directly on the NPPES registry website.

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