Active NPIIndividual providerSole proprietor

Jai Hyun Nam

Dentist in Northvale, New Jersey

NPI Number1538699475
Practice location
269 Livingston St Ste G, Northvale, NJ 07647-1918
Fax
—
Last updated
June 13, 2021

Jai Hyun Nam is a Dentist based in Northvale, NJ. Jai Hyun Nam practices in Northvale, NJ. The NPI Number for Jai Hyun Nam is 1538699475 and holds a License No. 060513-01 (NY). The current practice location address for Jai Hyun Nam is 269 Livingston St Ste G, Northvale, NJ 07647-1918 and can be reached out via phone at 201-784-1930.

Provider Profile Details

NPI Number
1538699475
Provider Name
Jai Hyun Nam
Provider Entity Type
Individual
Gender
Female
Address
269 Livingston St Ste G, Northvale, NJ 07647-1918
Phone Number
201-784-1930
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
June 14, 2017
Last Update Date
June 13, 2021
Certification Date
June 13, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
269 Livingston St Ste G
Northvale, NJ 07647-1918
Zip
07647-1918
Phone Number
201-784-1930
Northvale, NJ 07647Get directions →

Provider Business Mailing Address Details

Address
2030 Hudson St Apt 1236
Fort Lee, NJ 07024-7227
City
Fort Lee
State
NJ
Zip
07024-7227
Phone Number
617-894-4289

License Information

License Number (1)
060513-01
License State (1)
NY
Taxonomy (1)
Dentist · 122300000X
License Number (2)
22DI02822600
License State (2)
NJ
Taxonomy (2)
Dentist · 122300000X · 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 Jai Hyun Nam?

The NPI number of Jai Hyun Nam is 1538699475. It was assigned on June 14, 2017 and is currently active in the NPPES registry.

What is the specialty of Jai Hyun Nam?

Jai Hyun Nam is registered under the primary taxonomy Dentist (code 122300000X), licensed in NY under license number 060513-01.

Where does Jai Hyun Nam practice?

The practice location is 269 Livingston St Ste G, Northvale, NJ 07647-1918. The office can be reached at 201-784-1930 (phone).

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 1538699475 directly on the NPPES registry website.

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