DR. MAL BONG CHOI (NPI# 1063671022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063671022 |
| Entity Type | Individual |
| Full Name | DR. MAL BONG CHOI |
| Credential | DDS |
| Practice Address |
605 Broad Ave Suit # 203 Ridgefield NJ 07657-1697 |
| Mailing Address |
3530 Henry Hudson Pkwy Apt 1f Bronx NY 10463-1306 |
| Practice Telephone | 2019439424 |
| Practice Fax Number | 2019439485 |
| Mailing Telephone | 6467631145 |
| Mailing Fax Number | 7186013964 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2009-12-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
22DI01912300 | NJ | Dental Providers |
| Street Address |
605 BROAD AVE SUIT # 203 |
| City | RIDGEFIELD |
| State | NJ |
| Zip Code | 07657-1697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548279482 | Dennis Barbieri | Dentist | 605 Broad Ave, Suite 101, Ridgefield, NJ 07657 | 2006-08-07 |
| 1043455868 | Jung F Wu Md Pa | Anesthesiology | 605 Broad Ave, Suite 201, Ridgefield, NJ 07657-1697 | 2008-12-08 |
| 1326057183 | Nicholas Berardo | Dentist | 605 Broad Ave, Suite 101, Ridgefield, NJ 07657 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508383308 | Ridgefield Board of Education | Respite Care | 555 Chestnut Street, Ridgefield, NJ 07657 | 2017-08-23 |
| 1871035154 | Nj Happy Care, Inc. | Durable Medical Equipment & Medical Supplies | 321 Broad Ave Suite 106, Ridgefield, NJ 07657 | 2016-11-17 |
| 1215203724 | Chan-kyu Kim | Dentist | 709 Bergen Blvd., Ridgefield, NJ 07657 | 2012-03-29 |
| 1871775940 | Borough of Ridgefield | Public Health or Welfare | Slocum Avenue, Ridgefield, NJ 07657 | 2007-11-30 |
| 1932321759 | Dongkyun Daniel Kim | Dentist | 321 Broad Ave Building F Unit # 5, Ridgefield, NJ 07657 | 2007-05-02 |
| 1992880413 | Walter E Haemmerle | Dentist | 845 Broad Ave, Ridgefield, NJ 07657 | 2006-10-25 |
| 1861406746 | Agop Artinian | Internal Medicine | 477 Bergen Blvd, Ridgefield, NJ 07657 | 2006-07-28 |
| 1366969701 | Steven Jin | Acupuncturist | 709 Bergen Blvd, Fl 2, Ridgefield, NJ 07657 | 2017-08-26 |
| 1578000196 | Park Dental Arts, LLC | Dentist | 560 Bergen Blvd, Ridgefield, NJ 07657 | 2017-01-20 |
| 1518366426 | Cliffside Labs L.L.C. | Clinical Medical Laboratory | 579 Bergen Blvd, Ridgefield, NJ 07657 | 2014-08-15 |
| Find all providers in zip 07657 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871742643 | Ivan Kamenov Nedeltchev | Dentist | 22 Prospect St, Ridgefield, CT 06877-4510 | 2008-09-16 |
| 1295997161 | Caroline Kim Ahn | Dentist | 560 Bergen Blvd, Ridgefield, NJ 07657-2024 | 2008-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225676018 | Encore Dental of Toms River | Dentist | 1220 Hooper Avenue, Toms River, NJ 08753 | 2019-12-12 |
| 1184276990 | Abc Family Smiles LLC | Dentist | 252 Madison Ave Ste 106, Perth Amboy, NJ 08861-4314 | 2019-07-11 |
| 1235638347 | Essex Endodontics PC | Dentist | 460 Bloomfield Ave Ste 311, Montclair, NJ 07042-3552 | 2018-02-04 |
| 1770097446 | Arthur Royzner | Dentist | 1 Lincoln Hwy Ste 6, Edison, NJ 08820 | 2017-11-16 |
| 1366964017 | Sussex County Endodontics, PC | Dentist | 63 Newton Sparta Rd Ste 201, Newton, NJ 07860-2815 | 2017-07-14 |
| 1477916724 | Shayna Nicole Whiteman | Dentist | 141 Us Highway 46 Lowr Level, Rockaway, NJ 07866-4018 | 2016-04-04 |
| 1184099251 | Child Smiles Spec LLC | Dentist | 67-73 Fillmore Street, Newark, NJ 07105 | 2015-12-01 |
| 1366870198 | Sudharani Bodepudi | Dentist | 354 Lunar Rd, Piscataway, NJ 08854-5469 | 2013-10-14 |
| 1558700195 | Batastini Orthodontics, PC | Dentist | 69 Haddonfield - Berlin Road, Cherry Hill, NJ 08034 | 2013-06-17 |
| 1659612158 | Atlantic Endodontics LLC | Dentist | 235 E. Jimmie Leeds Road, Galloway, NJ 08205 | 2013-03-07 |
| Find all providers with the same taxonomy | ||||
| City | RIDGEFIELD |
| Zip Code | 07657 |
Please comment or provide details below to improve the information on DR. MAL BONG CHOI.
| 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.