Individual provider Active NPI

Dinah Kristine Cheong Geonzon, RN WHNP- BC

  • Women's Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1306389960
Registry record updated Jan 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
421224 Issued in NY
Practice address
2130 Ford St
1St FLR
Brooklyn, NY 11229-5140
Phone
(718) 676-1025
NPI assigned
Nov 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 421224 NY Primary

Addresses

Primary practice location

2130 Ford St
1St FLR
Brooklyn, NY 11229-5140

Mailing address

61 Harvard Dr
Hartsdale, NY 10530-2006
Phone (718) 579-1737

Other names 1

  • Ms. Dinah Kristine Cheong-Geonzon Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210623000944 NY Practitioner - Nurse Practitioner 1557621604 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation Current Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Mar 1, 2021 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Mar 1, 2021 Accepting new patients

Locations

545 E 142nd St
Bronx, NY 10454
Phone (718) 579-1719

227 Madison St
New York, NY 10002
Phone (212) 238-7000

50 Water St
Fl 3
New York, NY 10004

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: dcheonggeonzon837360@nychhc.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1306389960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 HARVARD DR",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105302006",
            "telephone_number": "718-579-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 FORD ST",
            "address_2": "1ST FLR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295140",
            "telephone_number": "718-676-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEONZON",
        "first_name": "DINAH KRISTINE",
        "middle_name": "CHEONG",
        "name_prefix": "Ms.",
        "credential": "RN WHNP- BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "421224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DINAH KRISTINE",
            "last_name": "CHEONG-GEONZON",
            "prefix": "MS.",
            "credential": "RN WHNP BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.