Palisades Park Bo Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

22DI02404802 Issued in NJ

Legal business name

PALISADES PARK BO ORTHODONTICS

Practice address

309A Broad Ave
Palisades Park, NJ 07650-1620

Phone

(201) 242-9300

Fax

(201) 242-3361

NPI assigned

May 23, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Bo Young Yun, DDS

Title

Owner

Phone

(201) 242-9300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jung H Kim, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Palisades Park, NJ
  • NPI 1174818496
  NPD (past)

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

{
    "created_epoch": "1432339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432339200000",
    "number": "1275912248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309A BROAD AVE",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501620",
            "telephone_number": "201-242-9300",
            "fax_number": "201-242-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309A BROAD AVE",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501620",
            "telephone_number": "201-242-9300",
            "fax_number": "201-242-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALISADES PARK BO ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-23",
        "last_updated": "2015-05-23",
        "status": "A",
        "authorized_official_last_name": "YUN",
        "authorized_official_first_name": "BO",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-242-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI02404802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyun J Oh
• Seo Jin Oh
• Silvia Edelina Ordonez, COTA
• Michael Ostrofsky, D.D.S.
• Pal Park Physical Therapy PC
• Palisades Park Dental P.C.
• Palisades Park Medicine, P.C.
• Palisades Park School District
• Palpark Physical Therapy
• Maria Elena Parisi

• Orthodontics and Dentofacial Orthopedics Dentistry in Palisades Park, NJ
• Providers in Palisades Park, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2015; 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.