Hannah Yoon, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02551100 Issued in NJ

Practice address

817 S Church St
Mount Laurel, NJ 08054-2503

Phone

(856) 778-2700

NPI assigned

Oct 24, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Church Street Family and Cosmetic Dentistry

  • General Practice Dentistry
  • Mount Laurel, NJ
  • NPI 1801124110
  NPD (past)
• Marcucci Dental Inc

  • Dental Clinic/Center
  • Vineland, NJ
  • NPI 1497392864
  NPD (past)
• P John Marcucci DDS PC

  • Dentist
  • Vineland, NJ
  • NPI 1205944733
  NPD (past)

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1609204874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 S CHURCH ST",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542503",
            "telephone_number": "856-778-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 S CHURCH ST",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542503",
            "telephone_number": "856-778-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "556 N Harding Hwy",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083608713",
            "country_code": "US",
            "telephone_number": "856-697-2440",
            "fax_number": "856-697-3770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOON",
        "first_name": "HANNAH",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-24",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS043454",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02551100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kashamir C Wynn-Roy
• Kathleen Yadlosky
• Ben M. Yang, M.D.
• Brianna Azadeh Yates, MD
• Helen H. Yi, M.D.
• Ebony Young, RN
• Frederick Young, O.D.
• Your Place at Home,LLC
• Amanda J Zacharias, M.S.
• Stephanie C Zaic, LSW

• Dentist in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.