Individual provider Active NPI

Yoomi Heo, DDS

  • Pediatric Dentistry
  • Elizabeth, NJ
National Provider Identifier
1811378201
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
22DI02678900 Issued in NJ
Practice address
65 Jefferson Ave
Elizabeth, NJ 07201-2474
Phone
(908) 469-9100
NPI assigned
Jun 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 059228-01 NY
Pediatric Dentistry 1223P0221X 22DI02678900 NJ Primary

Addresses

Primary practice location

65 Jefferson Ave
Elizabeth, NJ 07201-2474

Mailing address

65 Jefferson Ave
Elizabeth, NJ 07201-2474

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
22DI02678900NJMDPediatric Dentist
059228-01NYMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Child Smiles Spec LLC Past Accepting new patients
Skolnick Dental Associates Inc Pediatric Dentistry PastSince Dec 15, 2019 Accepting new patients
Paterson Dental, LLC Pediatric Dentistry PastSince May 25, 2025 Accepting new patients
Paterson Dental Spec, LLC Pediatric Dentistry PastSince May 25, 2025 Accepting new patients

Organizations & group practices 4

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": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1811378201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 JEFFERSON AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 JEFFERSON AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012474",
            "telephone_number": "908-469-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEO",
        "first_name": "YOOMI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "059228-01",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02678900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.