Chin-Tsai Cynthia Pong, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

270A00612700 Issued in NJ

Practice address

112 South Orange Avenue
Sears Optical / Livingston Mall
Livingston, NJ 07039-4904

Phone

(973) 994-1184

Fax

(973) 994-4850

NPI assigned

Apr 8, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1801069281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 GATHERINGHILL CT",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079501192",
            "telephone_number": "917-817-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SOUTH ORANGE AVENUE",
            "address_2": "SEARS OPTICAL / LIVINGSTON MALL",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394904",
            "telephone_number": "973-994-1184",
            "fax_number": "973-994-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONG",
        "first_name": "CHIN-TSAI",
        "middle_name": "CYNTHIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-08",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00612700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PM Pediatrics of Livingston, PLLC
• Marcia B Podvey, MS OTR
• Joseph Poette
• Gregory Politi
• Dana Beth Pollack, O.D.
• Julia Portnoff
• Thomas Steven Posio, D.C., PH.D.
• Pamela Posner, R.D., CDN
• Kristen Powell, CRNA
• Cody Jonathan Powers, DNP, CRNA, APN

• Optometrist in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.