Individual provider Active NPI

Jason Jaisung Cho, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • New York, NY
National Provider Identifier
1912319302
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
063091 Issued in NY
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

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DN24940FLMDOral and Maxillofacial Surgery (Dentist)
063091NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Swan Oral & Facial Surgery, LLC CurrentSince Aug 1, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.