Active NPI
Dickson Poku
- Case Manager/Care Coordinator
- Corona, NY
National Provider Identifier
1083116149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 9610 57TH Ave Apt 9F
Corona, NY 11368-3412 - Phone
- (443) 636-1368
- NPI assigned
- Mar 5, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
9610 57TH Ave Apt 9F
Corona, NY 11368-3412
Mailing address
1026 Cromwell Bridge Rd
Baltimore, MD 21286-3318
Phone (410) 583-1515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1083116149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1026 CROMWELL BRIDGE RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212863318",
"telephone_number": "410-583-1515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9610 57TH AVE APT 9F",
"city": "CORONA",
"state": "NY",
"postal_code": "113683412",
"telephone_number": "443-636-1368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POKU",
"first_name": "DICKSON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-05",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.