Midcounty Endodontic Group PA

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DI 17507 Issued in NJ

Legal business name

MIDCOUNTY ENDODONTIC GROUP PA

Practice address

60 W Ridgewood Ave
Ridgewood, NJ 07450-3197

Phone

(201) 652-3311

Fax

(201) 652-1893

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Young Jin Hahn, DMD

Title

DMD

Phone

(201) 652-3311

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1093831810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 W RIDGEWOOD AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503197",
            "telephone_number": "201-652-3311",
            "fax_number": "201-652-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 W RIDGEWOOD AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503197",
            "telephone_number": "201-652-3311",
            "fax_number": "201-652-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDCOUNTY ENDODONTIC GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "JIN",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "201-652-3311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "DI 17507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Meserole, PMHNP-BC
• Paula Metzger, LCSW
• MG Physician Assistant PLLC
• Mi Casa Es Su Casa II
• Michael J Sternschein MD,PA
• Therese M Mierswa, LSW
• Page Miliotis
• Arielle Miller
• Chelsea Miller, CRNP
• Cindy Miller, LCSW

• Endodontics in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Endodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.