Organization Active NPI

Newtown Smile Dental

  • General Practice Dentistry
  • Elmhurst, NY
National Provider Identifier
1669847588
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
049222 Issued in NY
Legal business name
NEWTOWN SMILE DENTAL
Practice address
8601 Justice Ave
Elmhurst, NY 11373-4555
Phone
(718) 393-0100
Fax
(718) 889-2355
NPI assigned
Dec 3, 2015
Last updated
Dec 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Authorized official

Name
Dr. Minsoo Cho, DDSNPI 1629297908
Title
Owner
Phone
(718) 393-0100

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 049222 NY Primary

Addresses

Primary practice location

8601 Justice Ave
Elmhurst, NY 11373-4555

Mailing address

8601 Justice Ave
Elmhurst, NY 11373-4555
Phone (718) 393-0100

Other identifiers 1

IdentifierTypeStateIssuer
02150214MedicaidNY

National Provider Directory

National Provider Directory

Locations

8601 Justice Ave
Elmhurst, NY 11373
Phone (718) 271-6180

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1669847588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 JUSTICE AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734555",
            "telephone_number": "718-393-0100",
            "fax_number": "718-889-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 JUSTICE AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734555",
            "telephone_number": "718-393-0100",
            "fax_number": "718-889-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWTOWN SMILE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "MINSOO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-393-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02150214",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.