Active NPI
Tobias J Hwang, DDS
- General Practice Dentistry
- Bronx, NY
National Provider Identifier
1285899179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 053908-1
- Practice address
- 1963 Grand Concourse
Lower Level
Bronx, NY 10453-4994 - Phone
- (718) 294-8800
- NPI assigned
- Jul 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 053908-1 | NY | Primary |
Addresses
Primary practice location
1963 Grand Concourse
Lower Level
Bronx, NY 10453-4994
Mailing address
1350 15TH St
#2H
Fort Lee, NJ 07024-2032
Phone (703) 727-6608
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170104001555 | NY | Order and Referring Only - Dentist | 0749561868 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053908-1 | NY | MD | General Practice Dentistry |
| 053908 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216598400000",
"number": "1285899179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 15TH ST",
"address_2": "#2H",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070242032",
"telephone_number": "703-727-6608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1963 GRAND CONCOURSE",
"address_2": "LOWER LEVEL",
"city": "BRONX",
"state": "NY",
"postal_code": "104534994",
"telephone_number": "718-294-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HWANG",
"first_name": "TOBIAS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-21",
"last_updated": "2008-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "053908-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 21, 2008; 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.