Individual provider Active NPI

Hyon K Yoo, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Waldwick, NJ
National Provider Identifier
1134128796
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
22DI02132600 Issued in NJ
Practice address
168 Franklin Tpke
Suite 202
Waldwick, NJ 07463-1835
Phone
(201) 251-9955
Fax
(201) 251-9994
NPI assigned
Jul 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 22DI02132600 NJ Primary

Addresses

Primary practice location

168 Franklin Tpke
Suite 202
Waldwick, NJ 07463-1835

Mailing address

168 Franklin Tpke
Suite 202
Waldwick, NJ 07463-1835
Phone (201) 251-9955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20160502000635 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1951600626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1121558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1134128796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 FRANKLIN TPKE",
            "address_2": "SUITE 202",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631835",
            "telephone_number": "201-251-9955",
            "fax_number": "201-251-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 FRANKLIN TPKE",
            "address_2": "SUITE 202",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631835",
            "telephone_number": "201-251-9955",
            "fax_number": "201-251-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "HYON",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-17",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02132600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldwick, NJ

Sources for this page

Verify at the official NPI Registry.