DR. JIN SUB OH (NPI# 1194101527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194101527 |
| Entity Type | Individual |
| Full Name | DR. JIN SUB OH |
| Credential | D.M.D. |
| Practice Address |
359 E Main St Suite #2e Mount Kisco NY 10549-3028 |
| Mailing Address |
359 E Main St Suite 2e Mount Kisco NY 10549-3028 |
| Practice Telephone | 9142423906 |
| Mailing Telephone | 9142423906 |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2016-11-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 22DI02550500 | NJ | Dental Providers |
| N | 122300000X | Dentist | 058130 | NY | Dental Providers |
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
058130 | NY | Dental Providers |
| Street Address |
359 E MAIN ST SUITE #2E |
| City | MOUNT KISCO |
| State | NY |
| Zip Code | 10549-3028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619972288 | Robert Jacobson Surgical Pharmacy | Durable Medical Equipment & Medical Supplies | 359 E Main St, Mount Kisco, NY 10549-3028 | 2005-06-20 |
| 1588010466 | David E Bank Md PC | Specialist | 359 E Main St, Mount Kisco, NY 10549-3028 | 2016-05-10 |
| 1689036634 | Elim Dental PC | Dentist | 359 E Main St, Suite#2e, Mount Kisco, NY 10549-3028 | 2016-03-28 |
| 1689043960 | Carolyn Clemenza Dds | Dentist | 359 E Main St, Suite 2e, Mount Kisco, NY 10549-3028 | 2015-09-17 |
| 1740625037 | Denis Murnane | Hearing Instrument Specialist | 359 E Main St, Suite 4b, Mount Kisco, NY 10549-3028 | 2013-05-01 |
| 1376866863 | Raymond Robert Vitolo | Pharmacist | 359 E Main St, Mount Kisco, NY 10549-3028 | 2010-03-11 |
| 1417192527 | Eleni Melpomeni Filios | Physician Assistant | 359 E Main St, Suite 4g, Mount Kisco, NY 10549-3028 | 2008-12-04 |
| 1083889828 | A & J Home Care, Inc. | Home Health | 359 E Main St, Suite 3 A, Mount Kisco, NY 10549-3028 | 2008-04-23 |
| 1801069703 | Community Hearing Services | Hearing Aid Equipment | 359 E Main St, Mount Kisco, NY 10549-3028 | 2008-04-11 |
| 1568653541 | Steven Schwartz | Dentist | 359 E Main St, Suite 2f, Mount Kisco, NY 10549-3028 | 2007-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346736618 | The Amerson Center, LLC | Day Training, Developmentally Disabled Services | 13 Timber Rdg, Mount Kisco, NY 10549 | 2018-07-10 |
| 1518496918 | Richard Mark Schnabel | Counselor | 116 Radio Circle, Mt Kisco, NY 10549 | 2017-06-08 |
| 1568997088 | Jodi Baretz | Social Worker | 4 Smith Ave, The Center for Health and Healing, Mt Kisco, NY 10549 | 2017-04-21 |
| 1598205205 | Tracey A Blum | Nurse Practitioner | 110 S. Bedford Road, Caremount Medical PC, Mt Kisco, NY 10549 | 2017-02-28 |
| 1083153936 | Marissa L Schwartz | Dentist | 359 E Main St Ste 2f, Mount Kisco, NY 10549 | 2017-02-13 |
| 1700249299 | Patricia Harte | Specialist | 15 Caren Court, Mount Kisco, NY 10549 | 2016-04-01 |
| 1154663458 | Nicola Ann Quatrano | Dermatology | 185 Kisco Ave Ste 300, Mount Kisco, NY 10549 | 2013-03-25 |
| 1053671503 | Harvey Joel Rosenberg | Internal Medicine | Caremount Medical, P.C., 90 South Bedford Road, Mount Kisco, NY 10549 | 2012-05-17 |
| 1427320597 | Raymond Koloski | Pediatrics | 200 Woodcrest Lane, Apt 226, Mt. Kisco, NY 10549 | 2012-02-03 |
| 1114232733 | Bedford Central School District | Local Education Agency (LEA) | 47 West Hyatt Avenue, Mount Kisco, NY 10549 | 2010-08-09 |
| Find all providers in zip 10549 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477742435 | Joel Himelfarb | Dentist | 105 S Bedford Rd, Suite 307, Mount Kisco, NY 10549-3441 | 2007-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382143 | Weon Jae Choi | Dentist | 22 N 6th St Apt 9o, Brooklyn, NY 11249-3083 | 2020-09-29 |
| 1053927624 | Victor Yin Yu Lee | Dentist | 130 Fort Washington Ave Ofc 1b, New York, NY 10032-4724 | 2020-09-19 |
| 1972111441 | Lex Prosthodontics, Pllc | Dentist | 185 E 85th St Ofc 2, New York, NY 10028-2191 | 2020-07-21 |
| 1437767936 | Gramercy Prosthodontics, Pllc | Dentist | 130 E 18th St Ofc 1m, New York, NY 10003-2400 | 2020-07-21 |
| 1306492731 | Penny Planzos | Dentist | 7815 4th Avenue, Brooklyn, NY 11209 | 2019-08-12 |
| 1346707916 | 5d Dental Pllc | Dentist | 150 Irving Place, Woodmere, NY 11598 | 2019-03-01 |
| 1699274829 | Westchester Dental Design, PC | Dentist | 1915 Central Park Ave Ste 201, Yonkers, NY 10710-2949 | 2018-02-02 |
| 1073031506 | Rhugielyn Mangaoang | Dentist | 51 W 51st St Ste 350, New York, NY 10019 | 2017-09-05 |
| 1811412174 | Allen & Schwarz Dental Pllc | Dentist | 30 Central Park S Rm 10b, New York, NY 10019-1628 | 2017-08-08 |
| 1407393424 | Thomas Fuschetto | Dentist | 33 Cedar St Ste 1, Rye, NY 10580-2031 | 2017-01-28 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT KISCO |
| Zip Code | 10549 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.