Individual provider Active NPI

Yoo Jeong Anna Hong, DDS

  • Dentist
  • Englewood, NJ
National Provider Identifier
1497818280
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI01893500 Issued in NJ
Practice address
370 Grand Ave
Suite 200
Englewood, NJ 07631-4154
Phone
(201) 871-3555
Fax
(201) 871-9096
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

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
Dentist 122300000X 22DI01893500 NJ Primary

Addresses

Primary practice location

370 Grand Ave
Suite 200
Englewood, NJ 07631-4154

Mailing address

370 Grand Ave
Suite 200
Englewood, NJ 07631-4154
Phone (201) 871-3555

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210415000451 NJ Order and Referring Only - DentistPractitioner - Dentist 3274941042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI01893500NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Englewood Dental, PA Past Accepting new patients
Englewood Dental, PA Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497818280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 GRAND AVE",
            "address_2": "SUITE 200",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314154",
            "telephone_number": "201-871-3555",
            "fax_number": "201-871-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 GRAND AVE",
            "address_2": "SUITE 200",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314154",
            "telephone_number": "201-871-3555",
            "fax_number": "201-871-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "YOO JEONG",
        "middle_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01893500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.