Active NPI
Mark In Huh, DMD
- Dentist
- Cinnaminson, NJ
National Provider Identifier
1851687792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02501300
- Practice address
- 700 Route 130 N Ste 204
Cinnaminson, NJ 08077-3366 - Phone
- (856) 829-8668
- NPI assigned
- Jun 20, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS037953 | PA | |
| Dentist | 122300000X | 22DI02501300 | NJ | Primary |
Addresses
Primary practice location
700 Route 130 N Ste 204
Cinnaminson, NJ 08077-3366
Mailing address
700 Route 130 N Ste 204
Cinnaminson, NJ 08077-3366
Phone (856) 829-8668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171018003134 | NJ | Order and Referring Only - Dentist | 4789950783 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02501300 | NJ | MD | Dentist |
| DS037953 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rapha Dental LLC | Current | Accepting new patients |
Locations
700 Route 130 N
Ste 204
Cinnaminson, NJ 08077
Phone (856) 829-8668
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.
-
- Dental Clinic/Center
- Cinnaminson, NJ
- NPI 1275284226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1851687792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ROUTE 130 N STE 204",
"city": "CINNAMINSON",
"state": "NJ",
"postal_code": "080773366",
"telephone_number": "856-829-8668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 ROUTE 130 N STE 204",
"city": "CINNAMINSON",
"state": "NJ",
"postal_code": "080773366",
"telephone_number": "856-829-8668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUH",
"first_name": "MARK",
"middle_name": "IN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-20",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS037953",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02501300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cinnaminson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.