Individual provider Active NPI

Francis Oh, DDS, MS, MA

  • Dentist
  • Fort Lee, NJ
National Provider Identifier
1043652886
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02571500 Issued in NJ
Practice address
2044 Center Ave
Fort Lee, NJ 07024-4930
Phone
(201) 637-7977
NPI assigned
Jul 22, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 056707 NY
Dentist 122300000X 22DI02571500 NJ Primary

Addresses

Primary practice location

2044 Center Ave
Fort Lee, NJ 07024-4930

Mailing address

2044 Center Ave
Fort Lee, NJ 07024-4930
Phone (201) 637-7977

Other identifiers 2

IdentifierTypeStateIssuer
056707OtherNYNYS DENTAL LICENSE
22DI02571500OtherNJNJ LICENSING BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20160802000859 NY Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 0648564435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
22DI02571500NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1043652886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 CENTER AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244930",
            "telephone_number": "201-637-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2044 CENTER AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244930",
            "telephone_number": "201-637-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DDS, MS, MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-22",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "056707",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02571500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DENTAL LICENSE",
            "identifier": "056707",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSING BOARD",
            "identifier": "22DI02571500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

Verify at the official NPI Registry.