Myung Hae Hyon, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02548200 Issued in NJ

Practice address

288 Hwy 35
Suite a
Eatontown, NJ 07724-2174

Phone

(732) 542-7770

Fax

(732) 542-4244

NPI assigned

Aug 20, 2013

Last updated

Aug 20, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1255764767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 HWY 35",
            "address_2": "SUITE A",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242174",
            "telephone_number": "732-542-7770",
            "fax_number": "732-542-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 HWY 35",
            "address_2": "SUITE A",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242174",
            "telephone_number": "732-542-7770",
            "fax_number": "732-542-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYON",
        "first_name": "MYUNG",
        "middle_name": "HAE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02548200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Eatontown, NJ
• Providers in Eatontown, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.