Sohyoun Jun, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02470400 Issued in NJ

Practice address

891 Palisade Ave
Fort Lee, NJ 07024-4122

Phone

(267) 808-2088

NPI assigned

May 3, 2010

Last updated

Jan 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• So Good Dentistry PC

  • Dental Clinic/Center
  • Fort Lee, NJ
  • NPI 1215689245
  NPD Authorized official

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1629395413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 PALISADE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244122",
            "telephone_number": "201-947-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 PALISADE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244122",
            "telephone_number": "267-808-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUN",
        "first_name": "SOHYOUN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-03",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02470400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph C Iraci MD PC
• Nicholas Jovic, PT
• Jessica Jozefiak
• JPW Dental LLC
• Jaehyung Jun, RPH
• Junho Jung, DDS
• Kyung Sil Jung, PHD
• Junior Eagle Corporation (Linwood Optical)
• Francoise Juste, RN, DNP
• K & S Drug & Surgical Inc

• Dentist in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.