Active NPI
Jason Jaisung Cho, DDS, MD
- Oral and Maxillofacial Surgery (Dentist)
- New York, NY
National Provider Identifier
1912319302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 063091
- Practice address
- 18 E 48TH St RM 1502
New York, NY 10017-1095 - Phone
- (530) 848-2075
- NPI assigned
- May 20, 2014
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DN24940 | FL | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 063091 | NY | Primary |
Addresses
Primary practice location
18 E 48TH St RM 1502
New York, NY 10017-1095
Mailing address
18 E 48TH St RM 1502
New York, NY 10017-1095
Phone (530) 848-2075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 17, 2023 through Aug 17, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN24940 | FL | MD | Oral and Maxillofacial Surgery (Dentist) |
| 063091 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swan Oral & Facial Surgery, LLC | Current | Accepting new patients | |
| Citrus Oral and Facial Surgery at Ocala, LLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| University of Pittsburgh Medical Center Dept of MFS | Past | Accepting new patients |
Locations
407 S Kentucky Ave
Lakeland, FL 33801
Phone (863) 688-1537
Interoperability endpoints
- jcho51472@northwell.direct-ci.com
Organizations & group practices 3
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.
-
- Oral and Maxillofacial Surgery Clinic/Center
- Lakeland, FL
- NPI 1073143731
-
- Oral and Maxillofacial Surgery (Dentist)
- Crystal River, FL
- NPI 1326535279
-
- General Acute Care Hospital
- Pittsburgh, PA
- NPI 1043651557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1912319302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 E 48TH ST RM 1502",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100171095",
"telephone_number": "530-848-2075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 E 48TH ST RM 1502",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100171095",
"telephone_number": "530-848-2075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHO",
"first_name": "JASON",
"middle_name": "JAISUNG",
"credential": "DDS, MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-20",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "FL",
"license": "DN24940",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "063091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.