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Deactivated NPI 1477611986 Deactivated / Inactive NPI Male Practitioner

Dr. Cheul Du Kwon , MD

Pediatrics • Pomona, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Cheul Kwon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 05, 2006
NPI Deactivation Date November 29, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Cheul Kwon, MD was a registered Pediatrics practicing in Pomona, NJ. Throughout an active medical career spanning 11 years, Dr. Kwon provided care at the practice location at 72 W. JIM LEEDS RD. until profile deactivation on 2017-11-29.

Practice Location & Contact Primary Location

Practice Address

72 W. Jim Leeds Rd.
Stockton Medical Bldg. #1400

Pomona, NJ 08240

Telephone 6096526659
Fax 6096523326

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Pomona, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Pomona, NJ (2321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NJ MA029014

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 29, 2017

Record deactivated on November 29, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 72 W. JIM LEEDS RD., STOCKTON MEDICAL BLDG. #1400, POMONA, NJ 08240 (Tel: 6096526659)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 336, STOCKTON MEDICAL BLDG. #1400, POMONA, NJ 082400336 (Tel: 6096526659)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CHEUL KWON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #MA029014 in NJ)

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Initial NPI Registration & Enumeration December 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477611986
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2006
Last Update: July 08, 2007
Deactivation Date: November 29, 2017

Mailing Address

Po Box 336, Stockton Medical Bldg. #1400

Pomona, NJ 082400336

Phone: 6096526659

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.