Individual provider Active NPI

Andrew Hong, DDS

  • General Practice Dentistry
  • Rio Grande, NJ
National Provider Identifier
1730748682
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DIO2788200 Issued in NJ
Practice address
4 Oslo Ave
Rio Grande, NJ 08242-1614
Phone
(609) 886-2277
NPI assigned
Jun 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DIO2788200 NJ Primary

Addresses

Primary practice location

4 Oslo Ave
Rio Grande, NJ 08242-1614

Mailing address

4 Oslo Ave
Rio Grande, NJ 08242-1614
Phone (609) 886-2277

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

LicenseStateTypeSpecialty
22DIO2788200NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
William Huntley Panico, DMD, LLC CurrentSince Jan 26, 2020 Accepting new patients

Locations

4 Oslo Ave
Rio Grande, NJ 08242
Phone (609) 886-2277

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": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1730748682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 OSLO AVE",
            "city": "RIO GRANDE",
            "state": "NJ",
            "postal_code": "082421614",
            "telephone_number": "609-886-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 OSLO AVE",
            "city": "RIO GRANDE",
            "state": "NJ",
            "postal_code": "082421614",
            "telephone_number": "609-886-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "ANDREW",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-12",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DIO2788200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.