Active NPI
Chun Pae Cho, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Fresh Meadows, NY
National Provider Identifier
1285972844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 058697-1
- Practice address
- 5348 193Rd St
Fresh Meadows, NY 11365-1237 - Phone
- (917) 963-0335
- NPI assigned
- Jan 16, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 058697-1 | NY | Primary |
Addresses
Primary practice location
5348 193Rd St
Fresh Meadows, NY 11365-1237
Mailing address
5348 193Rd St
Fresh Meadows, NY 11365-1237
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 |
|---|---|---|---|
| 058697-1 | NY | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510185600000",
"number": "1285972844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5348 193RD ST",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113651237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5348 193RD ST",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113651237",
"telephone_number": "917-963-0335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHO",
"first_name": "CHUN PAE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-16",
"last_updated": "2017-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "058697-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.