DR. EJU HWANG (NPI# 1558574855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558574855 |
| Entity Type | Individual |
| Full Name | DR. EJU HWANG |
| Credential | D.D.S |
| Practice Address |
3651 Bell Blvd Bayside NY 11361-2025 |
| Mailing Address |
2 Marlene Dr Syosset NY 11791-6125 |
| Practice Telephone | 7189383101 |
| Mailing Telephone | 2124648418 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2008-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
053487-1 | NY | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
22DI02298401 | NJ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02936294 | 05 |
| Street Address |
3651 BELL BLVD |
| City | BAYSIDE |
| State | NY |
| Zip Code | 11361-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619581642 | Jessica Anne Hagedorn | Case Manager/Care Coordinator | 3651 Bell Blvd, Bayside, NY 11361-2169 | 2020-09-08 |
| 1265064034 | Angela Estrella | Case Manager/Care Coordinator | 3651 Bell Blvd, Bayside, NY 11361-2169 | 2020-02-10 |
| 1902448764 | Ladorian Morris | Case Manager/Care Coordinator | 3651 Bell Blvd, Bayside, NY 11361-2169 | 2019-10-14 |
| 1003458019 | Eddylane Rosio Rivera | Case Manager/Care Coordinator | 3651 Bell Blvd, Bayside, NY 11361-2169 | 2019-10-10 |
| 1003474495 | Quaneisha Boone | Case Manager/Care Coordinator | 3651 Bell Blvd, Bayside, NY 11361-2169 | 2019-05-31 |
| 1124683412 | Shamane Sampson | Case Manager/Care Coordinator | 3651 Bell Blvd, Bayside, NY 11361-2169 | 2019-05-02 |
| 1285299552 | Walkiria Ivelisse Correa | Case Manager/Care Coordinator | 3651 Bell Blvd, Bayside, NY 11361-2169 | 2019-05-02 |
| 1841753456 | Jodene Gordon | Case Manager/Care Coordinator | 3651 Bell Blvd, Bayside, NY 11361-2169 | 2019-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467078055 | Nicole E. Sarracco | Speech-Language Pathologist | 215 - 46 39th Avenue, Flushing, NY 11361 | 2020-06-19 |
| 1689294381 | Terri Robin Will | Registered Nurse | 3416 2019th Street, Queens, NY 11361 | 2020-04-22 |
| 1295364875 | Melanie Besthoff | Speech-Language Pathologist | 215-46 39th Avenue, Flushing, NY 11361 | 2020-04-05 |
| 1790339844 | Alana Valle | Occupational Therapist | 20947 34th Rd, Bayside, NY 11361 | 2019-07-26 |
| 1881175826 | Eva Mui | Pharmacist | 212 Northern Blvd, Bayside, NY 11361 | 2018-08-28 |
| 1063908531 | Hongik Acupuncture N.y. P.C. | Acupuncturist | 21441 42nd Ave Ste 4c, Bayside, NY 11361 | 2018-07-07 |
| 1093233694 | Karen Trentacosta | Registered Nurse | 40-04a Bell Boulevard, Bayside, NY 11361 | 2017-09-03 |
| 1801310131 | Hee Gi An | Dentist | 42-05 204th St, Flr 2, Bayside, NY 11361 | 2017-07-28 |
| 1780113050 | Miaoying Zhu | Social Worker | 217-63 Corbett Rd, Bayside, NY 11361 | 2017-06-08 |
| 1679016265 | Daniela Ragusa | Speech-Language Pathologist | 221-21 Corbett Road, Bayside, NY 11361 | 2016-11-30 |
| Find all providers in zip 11361 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336494939 | Inessa Kandov | Dentist | 21333 39th Ave Ste 300, Bayside, NY 11361-2092 | 2012-07-19 |
| 1811268774 | The Office for Dental Arts, P.C. | Dentist | 22424 Union Tpke Ste 1m, Bayside, NY 11364-3650 | 2012-01-24 |
| 1699054320 | Jason Lin | Dentist | 38-50 Bell Blvd, Suite E, Bayside, NY 11361 | 2011-08-11 |
| 1629237599 | Panayota Penny Kollias-stroumbakis | Dentist | 2819 Corporal Kennedy St, Bayside, NY 11360-2436 | 2008-06-05 |
| 1801064043 | Sherman Burton Berger | Dentist | 230 E Ravine Baye Rd, Bayside, WI 53217-1326 | 2008-02-11 |
| 1831389675 | Sun Young Lee | Dentist | 4225 213th St Apt 1r, Bayside, NY 11361-2822 | 2007-07-27 |
| 1770789034 | Sunhoon Loh | Dentist | 4543a Bell Blvd, Bayside, NY 11361-3364 | 2007-06-25 |
| 1053513044 | Tzong-shen Tsai | Dentist | 3938 Bell Blvd Fl 2, Bayside, NY 11361-2061 | 2007-06-03 |
| 1487869749 | Bell Blvd. Dental, P.C. | Dentist | 46-01 Bell Blvd, Bayside, NY 11361 | 2007-05-11 |
| 1003020256 | Armin Lalehzari | Dentist | 44-02 Francis Lewis Blvd. #1c, Dazzling Smile Dental Group, Bayside, NY 11361-6546 | 2007-05-09 |
| Find all providers in BAYSIDE | ||||
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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.