Active NPI
Soo Yoo Simonetti, DMD
- Pediatric Dentistry
- Englewood, NJ
National Provider Identifier
1700347226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 22DI02852400
- Practice address
- 105 N Dean St
Englewood, NJ 07631-2813 - Phone
- (201) 608-5114
- Fax
- (201) 608-5204
- NPI assigned
- Mar 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 22DI02852400 | NJ | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
105 N Dean St
Englewood, NJ 07631-2813
Mailing address
105 N Dean St
Englewood, NJ 07631-2813
Phone (201) 608-5114
Other names 1
- Soo Yoo
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 |
|---|---|---|---|
| 22DI02852400 | NJ | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eytan Chen DMD LLC | Pediatric Dentistry | Current | Accepting new patients |
Locations
105 N Dean St
Englewood, NJ 07631
Phone (201) 569-3232
Interoperability endpoints
- syoo2@montefioredirect.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1700347226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 N DEAN ST",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076312813",
"telephone_number": "201-608-5114",
"fax_number": "201-608-5204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 N DEAN ST",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076312813",
"telephone_number": "201-608-5114",
"fax_number": "201-608-5204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONETTI",
"first_name": "SOO",
"middle_name": "YOO",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-27",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NJ",
"license": "22DI02852400",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SOO",
"last_name": "YOO",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.