Active NPI
Jing-Yang Elton Ko, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fairfield, NJ
National Provider Identifier
1609056027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 15727
- Practice address
- 271 Route 46 W Ste E101
Fairfield, NJ 07004-2488 - Phone
- (973) 808-9820
- Fax
- (973) 808-9730
- NPI assigned
- Nov 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 15727 | NJ | Primary |
Addresses
Primary practice location
271 Route 46 W Ste E101
Fairfield, NJ 07004-2488
Mailing address
271 Route 46 W Ste E101
Fairfield, NJ 07004-2488
Phone (973) 808-9820
Other names 1
- Dr. Jing Yang Ko
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 |
|---|---|---|---|
| 15727 | NJ | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194998400000",
"number": "1609056027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 ROUTE 46 W STE E101",
"city": "FAIRFIELD",
"state": "NJ",
"postal_code": "070042488",
"telephone_number": "973-808-9820",
"fax_number": "973-808-9730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 ROUTE 46 W STE E101",
"city": "FAIRFIELD",
"state": "NJ",
"postal_code": "070042488",
"telephone_number": "973-808-9820",
"fax_number": "973-808-9730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KO",
"first_name": "JING-YANG",
"middle_name": "ELTON",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-14",
"last_updated": "2007-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NJ",
"license": "15727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JING YANG",
"last_name": "KO",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fairfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.