Individual provider Active NPI

John Soh, DMD

  • Oral and Maxillofacial Pathology Dentistry
  • Cherry Hill, NJ
National Provider Identifier
1235145970
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
22D102297200 Issued in NJ
Practice address
17 W Ormond Ave
Cherry Hill, NJ 08002-3041
Phone
(856) 428-4445
Fax
(856) 428-4497
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 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 Pathology Dentistry 1223P0106X 22D102297200 NJ Primary

Addresses

Primary practice location

17 W Ormond Ave
Cherry Hill, NJ 08002-3041

Mailing address

17 W Ormond Ave
Cherry Hill, NJ 08002-3041
Phone (856) 428-4445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2016 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22D102297200NJMDOral and Maxillofacial Pathology Dentist
052353NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Merrick Oral Surgery PLLC Oral and Maxillofacial Pathology Past Accepting new patients
North General Physician Services PLLC PastSince Jul 1, 2006 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1235145970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 W ORMOND AVE",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023041",
            "telephone_number": "856-428-4445",
            "fax_number": "856-428-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W ORMOND AVE",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023041",
            "telephone_number": "856-428-4445",
            "fax_number": "856-428-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOH",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "NJ",
            "license": "22D102297200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.