Ridgewood Dental Associates, LLC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

22DI02373200 Issued in NJ

Legal business name

RIDGEWOOD DENTAL ASSOCIATES, LLC

Practice address

166 Franklin Ave
Ridgewood, NJ 07450-3206

Phone

(201) 652-2474

Fax

(201) 652-7916

NPI assigned

Feb 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jin Ha Joung, D.M.D.NPI 1790945038

Title

Member

Phone

(201) 652-2474

Specialties & licenses 3

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Jin Ha Joung, D.M.D.

  • Prosthodontics
  • Ridgewood, NJ
  • NPI 1790945038

  Periodontics

  NPD (past) Authorized official
• Min-Hee A Cho, D.M.D.

  • General Practice Dentistry
  • Ridgewood, NJ
  • NPI 1538356662
  NPD (past)
• Mark F. Samani, D.M.D.

  • Prosthodontics
  • Woodcliff Lake, NJ
  • NPI 1477582500
  NPD (past)

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1285966267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 FRANKLIN AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503206",
            "telephone_number": "201-652-2474",
            "fax_number": "201-652-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 FRANKLIN AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503206",
            "telephone_number": "201-652-2474",
            "fax_number": "201-652-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEWOOD DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "JOUNG",
        "authorized_official_first_name": "JIN HA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "201-652-2474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02373100",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI02373200",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "NJ",
            "license": "22DI02373200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra L Richard, CA, L.AC,
• Ridgewood Ambulatory Surgery Center
• Ridgewood Board of Education
• Ridgewood Chiropractic
• Ridgewood Corset Shop Inc
• Ridgewood Dental Group LLC
• Ridgewood Dentistry, LLC (Glenn P Godart)
• Ridgewood ENT & Dermatology
• Ridgewood Eye Care & Wear LLC
• Ridgewood Foot Center

• Prosthodontics in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Prosthodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.