Michael S Shyong, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02386500 Issued in NJ

Practice address

235 Closter Dock Rd
Closter, NJ 07624-1907

Phone

(201) 768-6101

NPI assigned

Aug 26, 2008

Last updated

Aug 26, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1881841427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 COLLINS AVE",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076242817",
            "telephone_number": "201-669-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 CLOSTER DOCK RD",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076241907",
            "telephone_number": "201-768-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHYONG",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02386500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharma Consultancy, LLC (LuxStep Concierge)
• Shima Sokol, MD
• Shyong Dental Group LLC
• Andrew Shyong, D.D.S.
• Joseph Shyong, D.D.S.
• Jagdish Kaur Sidhu, N.D.
• Jacquelyn Deanna Sirgant, MSN, FNP-BC
• Kenneth B Sloane, DDS
• Susannah Smedresman, PSY.D.
• Shima Sokol, M.D.

• General Practice Dentistry in Closter, NJ
• Providers in Closter, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.

Verify at the official NPI Registry.