Chiu-Man Poon, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA05702100 Issued in NJ

Practice address

2780 Morris Ave
Suite 2a
Union, NJ 07083-4852

Phone

(908) 687-3300

Fax

(908) 687-4747

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• New Jersey Healthcare Services

  • Pediatrics Physician
  • Union, NJ
  • NPI 1275672610
  NPD (past) Authorized official

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699865832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 MORRIS AVE",
            "address_2": "SUITE 2A",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834852",
            "telephone_number": "908-687-3300",
            "fax_number": "908-687-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 MORRIS AVE",
            "address_2": "SUITE 2A",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834852",
            "telephone_number": "908-687-3300",
            "fax_number": "908-687-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POON",
        "first_name": "CHIU-MAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA05702100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5495407",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Kwadwo Poku
• Jose Polanco
• Natalie M Polanco, MS, RDN
• Richard C Poller, DMD
• Kenneth A. Pomerantz, D.M.D.
• Emely Portillo
• Rashel Potashnik, M.D.
• David Poulad, M.D.
• Jarold Raim Pradel, LAC
• Joseph Phillip Prasad, D.M.D.

• Pediatrics Physician in Union, NJ
• Providers in Union, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.