POOJA M MODH MSN,FNP-C,BSN,RN,CEN
NPI 1003595927
Nurse Practitioner - Family in Somerset, NJ
About Pooja M Modh Msn,fnp-c,bsn,rn,cen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
POOJA M MODH MSN,FNP-C,BSN,RN,CEN (NPI 1003595927) is an individual family provider in Somerset, New Jersey, licensed in New Jersey (26NJ14869400) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital At Hamilton, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Pooja M Modh Msn,fnp-c,bsn,rn,cen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Pooja Modh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Somerset, NJ 08873
- Reassigned Medicare billing, New Jersey enrollment
- 1,557 clinicians in this Medicare group
Livingston, NJ 07039
- Reassigned Medicare billing, New Jersey enrollment
- 1,913 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Robert Wood Johnson University Hospital At Hamilton
Acute Care Hospitals · Hamilton, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08873 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pooja Modh's NPI number?
The NPI number for Pooja Modh is 1003595927. It was assigned to this individual provider in the NPPES registry on July 17, 2023.
Where is Pooja Modh located?
Pooja Modh practices at 15 Hopkinson Ln, Somerset, NJ 08873. The listed phone number is (732) 491-7304.
What is Pooja Modh's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Pooja Modh enrolled in Medicare?
Yes. Pooja Modh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Pooja Modh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pooja Modh reassigns Medicare benefits to 2 organizations: Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ) and Rwjbh Observation Associates LLC (Livingston, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pooja Modh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pooja Modh accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Pooja Modh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Pooja Modh affiliated with any hospitals?
According to CMS data, Pooja Modh is affiliated with Robert Wood Johnson University Hospital At Hamilton.
When was this NPI record last updated?
The NPPES record for Pooja Modh was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pooja M Modh, MSN,FNP-C,BSN,RN,CEN · NPI 1003595927
Family physician in Somerset, New Jersey. Individual provider, active in the CMS NPPES registry since July 17, 2023.
## Identity
- **NPI:** 1003595927 (Entity type: Individual)
- **Enumerated:** July 17, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ14869400 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 15 HOPKINSON LN, Somerset, NJ 08873-7460
- **Phone:** (732) 491-7304
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Rwjbh Emergency Medicine Associates, LLC (NPI 1912510041, Somerset, NJ); Rwjbh Observation Associates LLC (NPI 1760095806, Livingston, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1003595927) · Data from the CMS NPPES public registry.