Active NPIIndividual provider

Dr. Jae Y Oh, DDS

Dentist, Endodontics in Fort Lee, New Jersey

NPI Number1396922712
Practice location
2185 Lemoine Ave Ste 1M, Fort Lee, NJ 07024-6030
Fax
201-944-5080
Last updated
January 5, 2022

Jae Yong Oh is a Dentist, Endodontics based in Fort Lee, NJ. Jae Yong Oh practices in Fort Lee, NJ and has the professional credentials of DDS. The NPI Number for Jae Yong Oh is 1396922712 and holds a License No. 054126 (NY). The current practice location address for Jae Yong Oh is 2185 Lemoine Ave Ste 1M, Fort Lee, NJ 07024-6030 and can be reached out via phone at 201-944-0797 and via fax at 201-944-5080.

Provider Profile Details

NPI Number
1396922712
Provider Name
Jae Yong Oh
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2185 Lemoine Ave Ste 1M, Fort Lee, NJ 07024-6030
Phone Number
201-944-0797
Fax Number
201-944-5080
Primary Taxonomy
Dentist, Endodontics · 1223E0200X
Sole Proprietor
No
Provider Enumeration Date
January 28, 2008
Last Update Date
January 5, 2022
Certification Date
January 5, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
2185 Lemoine Ave Ste 1M
Fort Lee, NJ 07024-6030
Zip
07024-6030
Phone Number
201-944-0797
Fax Number
201-944-5080
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
2185 Lemoine Ave Ste 1M
Fort Lee, NJ 07024-6030
City
Fort Lee
State
NJ
Zip
07024-6030
Phone Number
201-944-0797
Fax Number
201-944-5080

License Information

License Number (1)
054126
License State (1)
NY
Taxonomy (1)
Dentist, Endodontics · 1223E0200X
License Number (2)
22DI0236500
License State (2)
NJ
Taxonomy (2)
Dentist, Endodontics · 1223E0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jae Y Oh, DDS?

The NPI number of Dr. Jae Y Oh, DDS is 1396922712. It was assigned on January 28, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Jae Y Oh, DDS?

Dr. Jae Y Oh, DDS is registered under the primary taxonomy Dentist, Endodontics (code 1223E0200X), licensed in NY under license number 054126.

Where does Dr. Jae Y Oh, DDS practice?

The practice location is 2185 Lemoine Ave Ste 1M, Fort Lee, NJ 07024-6030. The office can be reached at 201-944-0797 (phone) or 201-944-5080 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396922712 directly on the NPPES registry website.

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