Active NPI
Joanna Hong, D.M.D.
- Dentist
- New York, NY
National Provider Identifier
1457776262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 058196
- Practice address
- 425 Madison Ave
Suite 500
New York, NY 10017-1110 - Phone
- (212) 758-1000
- Fax
- (212) 754-5731
- NPI assigned
- Mar 3, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 058196 | NY | Primary |
Addresses
Primary practice location
425 Madison Ave
Suite 500
New York, NY 10017-1110
Mailing address
425 Madison Ave
Suite 500
New York, NY 10017-1110
Phone (212) 758-1000
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 |
|---|---|---|---|
| 058196 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modern Dental of Manhattan PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- New York, NY
- NPI 1992330641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443398400000",
"number": "1457776262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 MADISON AVE",
"address_2": "SUITE 500",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100171110",
"telephone_number": "212-758-1000",
"fax_number": "212-754-5731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 MADISON AVE",
"address_2": "SUITE 500",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100171110",
"telephone_number": "212-758-1000",
"fax_number": "212-754-5731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONG",
"first_name": "JOANNA",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-03",
"last_updated": "2015-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "058196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.