DR. OTTO MYUNGHO CHOI (NPI# 1285895789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285895789 |
| Entity Type | Individual |
| Full Name | DR. OTTO MYUNGHO CHOI |
| Credential | DDS |
| Practice Address |
66 Somme St Newark NJ 07105-3612 |
| Mailing Address |
345 Old Hook Rd Westwood NJ 07675-3201 |
| Practice Telephone | 9735788788 |
| Practice Fax Number | 9735788799 |
| Mailing Telephone | 2013457745 |
| Mailing Fax Number | 2013457745 |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2018-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
22DI02426005 | NJ | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
054429-1 | NY | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
22DI02426001 | NJ | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
22DI02426000 | NJ | Dental Providers |
| Street Address |
66 SOMME ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07105-3612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164447587 | Loreta Montolo Uy | Pediatrics | 66 Somme St, Newark, NJ 07105-3612 | 2006-07-13 |
| 1205324555 | Janet Mark | Dentist | 66 Somme St, Newark, NJ 07105-3612 | 2018-04-23 |
| 1275054066 | Sara E Soumeeh | Dentist | 66 Somme St, Newark, NJ 07105-3612 | 2017-06-30 |
| 1013468040 | Infinite Endodontics 2 | Dentist | 66 Somme St, Newark, NJ 07105-3612 | 2016-10-14 |
| 1649651233 | Niveditha Sarof | Dentist | 66 Somme St, Newark, NJ 07105-3612 | 2015-06-09 |
| 1154681922 | Anahita Medical Group | Specialist | 66 Somme St, Newark, NJ 07105-3612 | 2012-05-25 |
| 1568618304 | Childsmiles, Pa | Dentist | 66 Somme St, 2nd Floor, Newark, NJ 07105 | 2008-08-12 |
| 1427243476 | Michael Ethan Skolnick | Dentist | 66 Somme St, 2nd Floor, Newark, NJ 07105-3612 | 2007-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053802819 | Ferry Pharmacy | Pharmacy | 165 Ferry St, Newark, NJ 07105 | 2018-05-28 |
| 1467969287 | Gabriela Cristina Celeiro | Social Worker | 243 East Kinney Street, Newark, NJ 07105 | 2018-01-02 |
| 1194238899 | Astra Health Center of Newark LLC | Internal Medicine | 41 Wilson Ave., Newark Nj, NJ 07105 | 2017-11-16 |
| 1760909501 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 140 42 Ferry St, Newark, NJ 07105 | 2017-08-23 |
| 1487185286 | Mercy Drive Regional Corporation | Day Training, Developmentally Disabled Services | 498-500 Ferry Street 1st Floor, Newark, NJ 07105 | 2017-03-23 |
| 1891236329 | Mercy Drive Regional Corporation | Home Health | 498 Ferry Street, Newark, NJ 07105 | 2017-03-16 |
| 1073968640 | Neha Rajkotia | Physical Therapist | 360 Avenue P, Preferred Freezer Bldg, 3rd Floor Immedicare, Newark, NJ 07105 | 2016-05-02 |
| 1184099251 | Child Smiles Spec LLC | Dentist | 67-73 Fillmore Street, Newark, NJ 07105 | 2015-12-01 |
| 1982099602 | Fermin Alejandro Padron | Pharmacist | 140-42 Ferry Street, Newark, NJ 07105 | 2015-03-31 |
| 1598162968 | Peak Chiropractic & Wellness LLC | Chiropractor | 411 419 Chestnut St, 1a, Newark, NJ 07105 | 2014-12-01 |
| Find all providers in zip 07105 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053497818 | Lynn Marie Collins | Dentist | 38 Peoples Plz, Newark, DE 19702-4727 | 2006-10-27 |
| 1528409448 | Jae Marie Grymes | Dentist | 1290 Peoples Plz, Newark, DE 19702-5701 | 2013-07-08 |
| 1780976019 | Silly Smiles, LLC | Dentist | 200 Biddle Ave, Suite 201, Newark, DE 19702-3968 | 2011-05-04 |
| 1508178310 | Daniel Peikes | Dentist | 110 Bergen St, Newark, NJ 07103-2495 | 2010-07-08 |
| 1053544361 | Talya Gluck | Dentist | 110 Bergen St, Pediatric Dentistry, Newark, NJ 07103-2495 | 2009-09-02 |
| 1023268935 | Dental Kidz, Limited Liability Company | Dentist | 24 Commerce St, 11th Floor, Newark, NJ 07102-4060 | 2008-09-27 |
| 1023150091 | Milton Houpt | Dentist | 110 Bergen St, New Jersey Dental School, Newark, NJ 07103 | 2007-02-13 |
| 1831261353 | Kesang Datta | Dentist | 9 25 Alling Street, Newark, NJ 07102 | 2006-11-14 |
| 1689751265 | Patricia Mary Smith | Dentist | 38 Peoples Plz, Newark, DE 19702-4727 | 2006-11-01 |
| 1083790844 | Ronald Edward Collins | Dentist | 38 Peoples Plz, Newark, DE 19702-4727 | 2006-10-27 |
| Find all providers in NEWARK | ||||
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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.