Provider Demographics
NPI:1831200047
Name:PONS, NIEVA P (MD)
Entity type:Individual
Prefix:DR
First Name:NIEVA
Middle Name:P
Last Name:PONS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5 COPPERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-1511
Mailing Address - Country:US
Mailing Address - Phone:908-654-5850
Mailing Address - Fax:908-654-0363
Practice Address - Street 1:5 COPPERFIELD RD
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-1511
Practice Address - Country:US
Practice Address - Phone:908-654-5850
Practice Address - Fax:908-654-0363
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA03305300207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJD06639Medicare UPIN