Active NPI
Hyun Jae Cho, DDS
- Periodontics
- New York, NY
National Provider Identifier
1225811920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 063281
- Practice address
- 1110 2ND Ave RM 305
New York, NY 10022-2021 - Phone
- (212) 751-8530
- NPI assigned
- Aug 16, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 063281 | NY | Primary |
Addresses
Primary practice location
1110 2ND Ave RM 305
New York, NY 10022-2021
Mailing address
1110 2ND Ave RM 305
New York, NY 10022-2021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063281 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Analytical Dental PC | Periodontics | Current | Accepting new patients |
Locations
1110 2nd Ave
Rm 305
New York, NY 10022
Phone (212) 586-4208
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714176000000",
"number": "1225811920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 2ND AVE RM 305",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100222021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 2ND AVE RM 305",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100222021",
"telephone_number": "212-751-8530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHO",
"first_name": "HYUN JAE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-16",
"last_updated": "2024-04-27",
"certification_date": "2024-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "063281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.