Organization Active NPI

New Rochelle Orthodontics PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • New Rochelle, NY
National Provider Identifier
1619134673
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
053537 Issued in NY
Legal business name
NEW ROCHELLE ORTHODONTICS PC
Practice address
77 Quaker Ridge Rd
#202
New Rochelle, NY 10804-2808
Phone
(914) 636-5958
Fax
(914) 560-2097
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Dr. Ju-Hyun Lee, DMDNPI 1447301148
Title
President
Phone
(914) 636-5958

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 053537 NY Primary

Addresses

Primary practice location

77 Quaker Ridge Rd
#202
New Rochelle, NY 10804-2808

Mailing address

77 Quaker Ridge Rd
#202
New Rochelle, NY 10804-2808
Phone (914) 636-5958

National Provider Directory

National Provider Directory

Locations

77 Quaker Ridge Rd
Ste 202
New Rochelle, NY 10804
Phone (914) 636-5958

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1619134673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 QUAKER RIDGE RD",
            "address_2": "#202",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108042808",
            "telephone_number": "914-636-5958",
            "fax_number": "914-560-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 QUAKER RIDGE RD",
            "address_2": "#202",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108042808",
            "telephone_number": "914-636-5958",
            "fax_number": "914-560-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ROCHELLE ORTHODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JU-HYUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-636-5958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "053537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.