Individual provider Active NPI

Young Jun Cho, DDS

  • Dentist
  • Elmwood Park, NJ
National Provider Identifier
1922617000
Registry record updated Sep 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02806900 Issued in NJ
Practice address
248 Palsa Ave
Elmwood Park, NJ 07407-1919
Phone
(201) 796-9122
NPI assigned
Jul 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02806900 NJ Primary

Addresses

Primary practice location

248 Palsa Ave
Elmwood Park, NJ 07407-1919

Mailing address

248 Palsa Ave
Elmwood Park, NJ 07407-1919
Phone (201) 796-9122

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
22DI02806900NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Dental of Elmwood Park CurrentSince Sep 21, 2025 Accepting new patients
Jeffrey Paul Powell DDS LLC Dentist PastSince Sep 21, 2025 Accepting new patients

Locations

248 Palsa Ave
Elmwood Park, NJ 07407
Phone (201) 796-9122

Organizations & group practices 2

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": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758326400000",
    "number": "1922617000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 PALSA AVE",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074071919",
            "telephone_number": "201-796-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 PALSA AVE",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074071919",
            "telephone_number": "201-796-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "YOUNG JUN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-24",
        "last_updated": "2025-09-20",
        "certification_date": "2025-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02806900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmwood Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2025; 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.