Joonsung Yeom, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02945500 Issued in NJ

Practice address

817 Federal St
Camden, NJ 08103-1539

Phone

(856) 583-2400

NPI assigned

Jun 17, 2020

Reactivated

Mar 16, 2022

Last updated

Nov 10, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jyeom674838@direct.ochin.org

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1265058184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 FEDERAL ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031539",
            "telephone_number": "856-583-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 FEDERAL ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031539",
            "telephone_number": "856-583-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEOM",
        "first_name": "JOONSUNG",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-17",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "deactivation_date": "2022-02-10",
        "reactivation_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02945500",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xiaodan Ye, MD
• Giselle J. Yecco, ANP-C
• Olubukola Oluyemisi Yeku
• Amy Marie Yellis, M.S., CCC/SLP
• Avani S Yenamandra, PHARMD, BCOP
• Sai Varshani Yetrintala, DO
• Zixin Yi
• Chae Yim
• Mark Yoa, MD
• Steven S Yocom, D.O.

• General Practice Dentistry in Camden, NJ
• Providers in Camden, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.