Active NPI
Sarah Sun-Young Ahn, DDS
- Pediatric Dentistry
- Bronx, NY
National Provider Identifier
1285684209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 053772
- Practice address
- 2016 Bronxdale Ave
Suite 303
Bronx, NY 10462-3388 - Phone
- (718) 792-7972
- NPI assigned
- May 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DS030904L | PA | |
| Pediatric Dentistry | 1223P0221X | 22DI022908000 | NJ | |
| Pediatric Dentistry | 1223P0221X | 053772 | NY | Primary |
Addresses
Primary practice location
2016 Bronxdale Ave
Suite 303
Bronx, NY 10462-3388
Mailing address
50 W 127TH St
Unit 5a
New York, NY 10027-3934
Phone (732) 763-3771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03338456 | Medicaid | NY |
Other names 1
- Dr. Sun-Young Ahn
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 |
|---|---|---|---|
| 22DI022908000 | NJ | MD | Pediatric Dentist |
| 053772 | NY | MD | Pediatric Dentist |
| DS030904L | PA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronx Park Dental PC | Pediatric Dentistry | Past | Accepting new patients |
Interoperability endpoints
- sahn95694@direct.medisys.org
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": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384905600000",
"number": "1285684209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 W 127TH ST",
"address_2": "UNIT 5A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100273934",
"telephone_number": "732-763-3771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2016 BRONXDALE AVE",
"address_2": "SUITE 303",
"city": "BRONX",
"state": "NY",
"postal_code": "104623388",
"telephone_number": "718-792-7972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHN",
"first_name": "SARAH",
"middle_name": "SUN-YOUNG",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2013-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DS030904L",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NJ",
"license": "22DI022908000",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "053772",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03338456",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUN-YOUNG",
"last_name": "AHN",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.