Jeong Ho Yang, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

062923 Issued in NY

Practice address

112 Westminster Rd
Scarsdale, NY 10583-2425

Phone

(914) 768-9017

NPI assigned

Feb 15, 2016

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Brick Township Endodontics LLC

  • Endodontics
  • Brick, NJ
  • NPI 1396680351
  NPD Authorized official
• All County Endodontics, PC

  • Endodontics
  • Scarsdale, NY
  • NPI 1518590918
  NPD
• Tri County Endodontics, LLC

  • Endodontics
  • Clifton, NJ
  • NPI 1528748571
  NPD (past)

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1992164362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 CENTER AVE APT #8D",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "07024",
            "telephone_number": "617-894-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WESTMINSTER RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105832425",
            "telephone_number": "914-768-9017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "791 Passaic Ave",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070122802",
            "country_code": "US",
            "telephone_number": "973-471-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "JEONG HO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-15",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "062923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marielle Woolf, LCSW
• Wright Choice Physical Therapy
• Kailing Sung Wu, D.D.S.
• Tin Tin Wynn, MD
• Jing Xu, M.D.
• Jie Yang, P.T.
• Susan Yanni-Bosco, LCSW
• Caryl Yanow, MD
• Young Adult Institute, Inc.
• Muhammad Yousuf

• Endodontics in Scarsdale, NY
• Providers in Scarsdale, NY by specialty
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.