Active NPI
Pioneer Health and Medical Inc
- Internal Medicine Physician
- Hazlet, NJ
National Provider Identifier
1528499571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA09386600
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryLocations
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.