Individual provider Active NPI

Yoon Euy Hong, DDS

  • Periodontics
  • Flushing, NY
National Provider Identifier
1598095911
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
053338 Issued in NY
Practice address
14936 Northern Blvd
#201
Flushing, NY 11354-3845
Phone
(718) 888-9446
Fax
(718) 888-9447
NPI assigned
Jan 7, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 053338 NY Primary

Addresses

Primary practice location

14936 Northern Blvd
#201
Flushing, NY 11354-3845

Mailing address

14936 Northern Blvd
#201
Flushing, NY 11354-3845
Phone (718) 888-9446

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
053338NYMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1598095911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14936 NORTHERN BLVD",
            "address_2": "#201",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543845",
            "telephone_number": "718-888-9446",
            "fax_number": "718-888-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14936 NORTHERN BLVD",
            "address_2": "#201",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543845",
            "telephone_number": "718-888-9446",
            "fax_number": "718-888-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "YOON",
        "middle_name": "EUY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "053338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.