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MISS POOJA MAHAJAN APN
NPI 1134461882
Nurse Practitioner - Adult Health in East Orange, NJ

Active since March 20, 2013PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
310 CENTRAL AVE STE 100, EAST ORANGE, NJ 07018(973) 674-2242 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Miss Pooja Mahajan Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS POOJA MAHAJAN APN (NPI 1134461882) is an individual adult health provider in East Orange, New Jersey, licensed in New Jersey (26NJ00416900) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1134461882
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMISS POOJA MAHAJANCredential: APN
Location Address310 CENTRAL AVE STE 100East Orange, NJ 07018-2838
Mailing Address310 Central Ave Ste 100East Orange, NJ 07018-2838 · (973) 674-2242
Phone(973) 674-2242
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 20, 2013
Last NPPES UpdateOctober 6, 2023
NPPES CertifiedOctober 6, 2023
✔ NPI 1134461882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26NJ00416900
310 CENTRAL AVE STE 100, East Orange, NJ 07018
Open in Google Maps ↗

Other Identifiers 1

Medicaid0365190NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Miss Pooja Mahajan Apn 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.

PECOS PAC ID5799924585
PECOS Enrollment IDI20130627000376
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Pooja Mahajan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Union County Health Care Associates LLC
9.1 mi
Internal Medicine
300 SOUTH AVE
Garwood, NJ 07027
  • Reassigned Medicare billing, New Jersey enrollment
  • 54 clinicians in this Medicare group
NPI 1033271291 (908) 232-2273
Medical Associates Of Englewood, PC
17 mi
Internal Medicine
350 ENGLE ST
Englewood, NJ 07631
  • Reassigned Medicare billing, New Jersey enrollment
  • 849 clinicians in this Medicare group
NPI 1952681918 (201) 608-2136

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07018 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
64%557 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
88%160 patients4/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
33%160 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%160 patients1/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHANDRA ABIRAMI BALASUBRAMANIAPANDIAN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
310 CENTRAL AVE STE 100
EAST ORANGE, NJ 07018
Essex County (862) 520-3104

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 Mahajan's NPI number?

The NPI number for Pooja Mahajan is 1134461882. It was assigned to this individual provider in the NPPES registry on March 20, 2013.

Where is Pooja Mahajan located?

Pooja Mahajan practices at 310 Central Ave Ste 100, East Orange, NJ 07018. The listed phone number is (973) 674-2242.

What is Pooja Mahajan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Pooja Mahajan enrolled in Medicare?

Yes. Pooja Mahajan 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 Mahajan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pooja Mahajan reassigns Medicare benefits to 2 organizations: Union County Health Care Associates LLC (Garwood, NJ) and Medical Associates Of Englewood, PC (Englewood, 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 Mahajan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pooja Mahajan accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Pooja Mahajan 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 Mahajan affiliated with any hospitals?

According to CMS data, Pooja Mahajan is affiliated with Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Pooja Mahajan was last updated on October 6, 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.