Individual provider Active NPI

Rei Yang Hsu, D.D.S

  • General Practice Dentistry
  • Newark, DE
National Provider Identifier
1073969259
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
G1-0001402 Issued in DE
Practice address
344 E Main St
Newark, DE 19711-7148
Phone
(302) 737-5170
Fax
(302) 737-3142
NPI assigned
May 6, 2016
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X G1-0001402 DE Primary
Durable Medical Equipment & Medical Supplies 332B00000X G1-0001402 DE

Addresses

Primary practice location

344 E Main St
Newark, DE 19711-7148

Mailing address

344 E Main St
Newark, DE 19711-7148
Phone (302) 737-5170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20160720000469 DE Order and Referring Only - DentistPractitioner - Dentist 6406149020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G1-0001402DEMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Newark Dental Associates PA Durable Medical Equipment & Medical Supplies CurrentSince Sep 23, 2019 Accepting new patients
Newark Dental Associates PA General Practice CurrentSince Dec 1, 2020 Accepting new patients

Locations

344 E Main St
Newark, DE 19711
Phone (302) 737-5170

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1073969259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 E MAIN ST",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117148",
            "telephone_number": "302-737-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 E MAIN ST",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117148",
            "telephone_number": "302-737-5170",
            "fax_number": "302-737-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSU",
        "first_name": "REI YANG",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-06",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1-0001402",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "DE",
            "license": "G1-0001402",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.