Jae Yong Oh, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

22DI0236500 Issued in NJ

Practice address

2185 Lemoine Ave Ste 1M
Fort Lee, NJ 07024-6030

Phone

(201) 944-0797

Fax

(201) 944-5080

NPI assigned

Jan 28, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1396922712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 LEMOINE AVE STE 1M",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246030",
            "telephone_number": "201-944-0797",
            "fax_number": "201-944-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 LEMOINE AVE STE 1M",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246030",
            "telephone_number": "201-944-0797",
            "fax_number": "201-944-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "JAE",
        "middle_name": "YONG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-28",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "054126",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "22DI0236500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nutrition & Health Center Inc.
• Nutritional Services LLC
• Minttu Nykaenen, PT, DPT
• Jonathan Odinsky
• Francis Oh, DDS, MS, MA
• Sherry Oh
• Ye Eun Oh
• Yoonkyung Oh, D.M.D.
• Michael Olla, M.D.
• Rainer Andreas Orth, LCSW

• Endodontics in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Endodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.