Active NPI
Lucilla Poon
- Registered Dietitian
- Totowa, NJ
National Provider Identifier
1487044624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 808567
- Practice address
- 120 Commerce Way
Totowa, NJ 07512-1158 - Phone
- (862) 377-9934
- NPI assigned
- Jan 26, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 808567 | IL | Primary |
Addresses
Primary practice location
120 Commerce Way
Totowa, NJ 07512-1158
Mailing address
1408 Gates CT
Morris Plains, NJ 07950-3461
Phone (862) 377-9934
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 808567 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438646400000",
"number": "1487044624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1408 GATES CT",
"city": "MORRIS PLAINS",
"state": "NJ",
"postal_code": "079503461",
"telephone_number": "862-377-9934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 COMMERCE WAY",
"city": "TOTOWA",
"state": "NJ",
"postal_code": "075121158",
"telephone_number": "862-377-9934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POON",
"first_name": "LUCILLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-26",
"last_updated": "2015-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "808567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Totowa, NJ
- Performance Rehabilitation, PC
- Janet Joke Pierre-Toussaint, LCSW
- Leonard Pierro Jr., P.T.
- Maxine Clare Pinto
- Artyom Pocapinskis, PTA
- Meera Venkataraman Prakash, M.D.
- Professional Occupational & Physical Therapy, PLLC
- Progressive Healing Counseling & Consulting Services
- Psycho-Educational Associates
- William F Puglisi, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.