Individual provider Active NPI

David Yao Fei Poon, M.D.

  • Ophthalmology Physician
  • Great Neck, NY
National Provider Identifier
1376861864
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
282429 Issued in NY
Practice address
600 Northern Blvd Ste 216
Great Neck, NY 11021-5200
Phone
(516) 466-0390
NPI assigned
May 10, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 282429 NY
Ophthalmology Physician 207W00000X 282429 NY Primary

Addresses

Primary practice location

600 Northern Blvd Ste 216
Great Neck, NY 11021-5200

Mailing address

600 Northern Blvd
Ste 216
Great Neck, NY 11021-5200
Phone (516) 466-0390

Other practice location 1

47 Commerce Ave Ste 2
Riverhead, NY 11901-3106
Phone (516) 466-0390

Other practice location 2

64 N Long Beach Rd
Rockville Centre, NY 11570-5030
Phone (516) 466-0390

Other practice location 3

200 Motor Pkwy Ste A2
Hauppauge, NY 11788-5112
Phone (631) 234-5666

Other practice location 4

13625 Maple Ave Ste 202
Flushing, NY 11355-3891
Phone (516) 466-0390

Other practice location 5

9131 Queens Blvd Ste 209
Elmhurst, NY 11373-5511
Phone (516) 466-0390

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160831000512 NY Practitioner - Ophthalmology 2062662711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Johns Hopkins University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Island Vitreo Retinal Consultants PCGroup PAC ID 1355232158, 20 clinicians

Practice addresses (Care Compare)

600 Northern Blvd
Great Neck, NY 11021-5200
Phone (516) 466-0390

Merit-based Incentive Payment System (MIPS)

Final score
99.9 of 100Reported as group
Quality
99.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
282429NYMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Vitreo Retinal Consultants PC Ophthalmology CurrentSince Aug 22, 2016 Accepting new patients
Long Island Vitreo Retinal Consultants Ophthalmology PastSince Aug 22, 2016 Accepting new patients

Locations

9131 Queens Blvd
Ste 209
Elmhurst, NY 11373
Phone (718) 793-6430

13625 Maple Ave
Ste 202
Flushing, NY 11355
Phone (718) 358-5900

600 Northern Blvd
Ste 216
Great Neck, NY 11021
Phone 5164660390204

200 Motor Pkwy
Ste A2
Hauppauge, NY 11788
Phone (631) 234-5666

200 Motor Pkwy
Hauppauge, NY 11788
Phone (631) 234-5666

47 Commerce Ave
Ste 2
Riverhead, NY 11901
Phone (631) 905-0666

64 N Long Beach Rd
Rockville Ctr, NY 11570
Phone (516) 594-1010

1600 Stewart Ave
Ste 411
Westbury, NY 11590

Networks

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

Organizations & group practices 2

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": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1376861864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NORTHERN BLVD",
            "address_2": "STE 216",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215200",
            "telephone_number": "516-466-0390",
            "fax_number": "516-466-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NORTHERN BLVD STE 216",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215200",
            "telephone_number": "516-466-0390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 Commerce Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Riverhead",
            "state": "NY",
            "postal_code": "119013106",
            "country_code": "US",
            "telephone_number": "516-466-0390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "64 N Long Beach Rd",
            "address_purpose": "LOCATION",
            "city": "Rockville Centre",
            "state": "NY",
            "postal_code": "115705030",
            "country_code": "US",
            "telephone_number": "516-466-0390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Motor Pkwy Ste A2",
            "address_purpose": "LOCATION",
            "city": "Hauppauge",
            "state": "NY",
            "postal_code": "117885112",
            "country_code": "US",
            "telephone_number": "631-234-5666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13625 Maple Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113553891",
            "country_code": "US",
            "telephone_number": "516-466-0390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9131 Queens Blvd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113735511",
            "country_code": "US",
            "telephone_number": "516-466-0390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POON",
        "first_name": "DAVID",
        "middle_name": "YAO FEI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-10",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "282429",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "282429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.