Organization Active NPI

Pioneer Health and Medical Inc

  • Internal Medicine Physician
  • Hazlet, NJ
National Provider Identifier
1528499571
Registry record updated Dec 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA09386600 Issued in NJ
Legal business name
PIONEER HEALTH AND MEDICAL INC
Practice address
875 Poole Ave
Hazlet, NJ 07730-2041
Phone
(732) 888-8331
NPI assigned
Dec 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2013

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

Authorized official

Name
Dione Chua, MD
Title
Owner
Phone
(732) 888-8331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MA09386600 NJ Primary

Addresses

Primary practice location

875 Poole Ave
Hazlet, NJ 07730-2041

Mailing address

875 Poole Ave
Hazlet, NJ 07730-2041
Phone (732) 888-8331

National Provider Directory

National Provider Directory

Locations

875 Poole Ave
Hazlet, NJ 07730
Phone (732) 203-0293

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1528499571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 POOLE AVE",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077302041",
            "telephone_number": "732-888-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 POOLE AVE",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077302041",
            "telephone_number": "732-888-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER HEALTH AND MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "CHUA",
        "authorized_official_first_name": "DIONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-888-8331",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09386600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.