Individual provider Active NPI

Sarah Sun-Young Ahn, DDS

  • Pediatric Dentistry
  • Bronx, NY
National Provider Identifier
1285684209
Registry record updated Nov 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
053772 Issued in NY
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

Updated by the provider on Nov 20, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03338456MedicaidNY

Other names 1

  • Dr. Sun-Young Ahn Former name

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

LicenseStateTypeSpecialty
22DI022908000NJMDPediatric Dentist
053772NYMDPediatric Dentist
DS030904LPAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bronx Park Dental PC Pediatric Dentistry Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.