POOJA GHELANI
NPI 1376916353
Physical Therapist in Piscataway, NJ
About Pooja Ghelani NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
POOJA GHELANI (NPI 1376916353) is an individual physical therapist in Piscataway, New Jersey, licensed in New York (039383) and active in the NPI registry since November 2015. She is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
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 Ghelani 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 Ghelani reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10128
- Reassigned Medicare billing, New York enrollment
- 564 clinicians in this Medicare group
Glen Rock, NJ 07452
- Reassigned Medicare billing, New Jersey enrollment
- 224 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.
Areas of Expertise CMS Part B claims 7
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08854 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Ghelani's NPI number?
The NPI number for Pooja Ghelani is 1376916353. It was assigned to this individual provider in the NPPES registry on November 12, 2015.
Where is Pooja Ghelani located?
Pooja Ghelani practices at 15 Corporate Pl S Ste 343, Piscataway, NJ 08854. The listed phone number is (646) 650-2292.
What is Pooja Ghelani's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Pooja Ghelani enrolled in Medicare?
Yes. Pooja Ghelani 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 Ghelani's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pooja Ghelani reassigns Medicare benefits to 2 organizations: Fox Rehabilitation Physical Therapy Services LLC (New York, NY) and Sportsmed Pt LLC (Glen Rock, 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 Ghelani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pooja Ghelani accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Pooja Ghelani 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.
When was this NPI record last updated?
The NPPES record for Pooja Ghelani was last updated on November 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.