Organization Active NPI

Tze on Poon, M.D. P.C.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1023306636
Registry record updated Jul 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TZE ON POON, M.D. P.C.
Practice address
829 57TH St
6TH Floor
Brooklyn, NY 11220-3677
Phone
(718) 633-8666
Fax
(212) 274-8666
NPI assigned
Jul 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2011

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

Authorized official

Name
Tze PoonNPI 1831253244
Title
President
Phone
(212) 274-8848

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X

Addresses

Primary practice location

829 57TH St
6TH Floor
Brooklyn, NY 11220-3677

Mailing address

139 Centre St
Room 603
New York, NY 10013-4552
Phone (212) 274-8848

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081015000611 NY Part B Supplier - Clinic/Group Practice 0345308607 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brooklyn, NY; New York, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Tze on Poon MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

829 57th St
Fl 6
Brooklyn, NY 11220
Phone (718) 633-8666

829 57th St
#6
Brooklyn, NY 11220
Phone (718) 633-8666

185 Canal St
Rm 401A
New York, NY 10013
Phone (212) 274-1225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1310774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310774400000",
    "number": "1023306636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST",
            "address_2": "ROOM 603",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134552",
            "telephone_number": "212-274-8848",
            "fax_number": "212-274-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 57TH ST",
            "address_2": "6TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203677",
            "telephone_number": "718-633-8666",
            "fax_number": "212-274-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TZE ON POON, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-16",
        "last_updated": "2011-07-16",
        "status": "A",
        "authorized_official_last_name": "POON",
        "authorized_official_first_name": "TZE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-274-8848"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2011; 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.