Individual provider Active NPI

Maria Jose De la Hoz, D.D.S

  • Periodontics
  • West New York, NJ
National Provider Identifier
1487740742
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
22DI01973700 Issued in NJ
Practice address
439 57TH St
First Floor
West New York, NJ 07093-2119
Phone
(201) 601-8828
Fax
(201) 601-8850
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 22DI01973700 NJ Primary

Addresses

Primary practice location

439 57TH St
First Floor
West New York, NJ 07093-2119

Mailing address

439 57TH St
First Floor
West New York, NJ 07093-2119
Phone (201) 601-8828

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

LicenseStateTypeSpecialty
22DI01973700NJMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487740742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 57TH ST",
            "address_2": "FIRST FLOOR",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932119",
            "telephone_number": "201-601-8828",
            "fax_number": "201-601-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 57TH ST",
            "address_2": "FIRST FLOOR",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932119",
            "telephone_number": "201-601-8828",
            "fax_number": "201-601-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA HOZ",
        "first_name": "MARIA JOSE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI01973700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.