Sang Ro, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

22DI02109800 Issued in NJ

Practice address

1 Dewolf Rd Ste 207
Old Tappan, NJ 07675-7015

Phone

(201) 750-7857

Fax

(201) 750-9070

NPI assigned

Sep 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Sang Yun Ro, DDS, PC

  dba Apex Endodontics

  • Endodontics
  • Old Tappan, NJ
  • NPI 1184839748
  NPD (past) Authorized official

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356433122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DEWOLF RD STE 207",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757015",
            "telephone_number": "201-750-7857",
            "fax_number": "201-750-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DEWOLF RD STE 207",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757015",
            "telephone_number": "201-750-7857",
            "fax_number": "201-750-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RO",
        "first_name": "SANG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "22DI02109800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Proactive Foot and Ankle
• Psyched to Grow LLC
• Psychoeducational Assessments, L.L.C.
• Nicole Purwin, LCSW
• Jaimee Rizzo, BCBA
• Nancy A Rothenberg, DO
• Alyse Rudnicki, D.D.S., M.S.
• Sheldon Rudnicki, DDS
• Osvaldo Sanchez
• Sang Yun Ro, DDS, PC (Apex Endodontics)

• Endodontics in Old Tappan, NJ
• Providers in Old Tappan, NJ by specialty
• Endodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.