Organization Active NPI

Sang Yun Ro, DDS, PC

  • Endodontics
  • Old Tappan, NJ
National Provider Identifier
1184839748
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
22DI02109800 Issued in NJ
Legal business name
SANG YUN RO, DDS, PC
Practice address
1 Dewolf Rd
Suite 207
Old Tappan, NJ 07675-7015
Phone
(201) 750-7857
Fax
(201) 750-9070
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sang Yun Ro, DDSNPI 1356433122
Title
President
Phone
(201) 750-7857

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 22DI02109800 NJ Primary

Addresses

Primary practice location

1 Dewolf Rd
Suite 207
Old Tappan, NJ 07675-7015

Mailing address

1 Dewolf Rd
Suite 207
Old Tappan, NJ 07675-7015
Phone (201) 750-7857

Other names 1

  • Apex Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1 Dewolf Rd
Ste 207
Old Tappan, NJ 07675
Phone (201) 750-7857

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184839748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DEWOLF RD",
            "address_2": "SUITE 207",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757015",
            "telephone_number": "201-750-7857",
            "fax_number": "201-750-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DEWOLF RD",
            "address_2": "SUITE 207",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757015",
            "telephone_number": "201-750-7857",
            "fax_number": "201-750-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANG YUN RO, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RO",
        "authorized_official_first_name": "SANG",
        "authorized_official_middle_name": "YUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-750-7857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "22DI02109800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apex Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Old Tappan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.