SAM HYUN-JU NA


Address: 5 Hdsn Vly Prof Plz, Newburgh, NY 12550
Phone: 8455625570

SAM HYUN-JU NA (NPI# 1093160608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093160608
Entity Type Individual
Full Name SAM HYUN-JU NA
Credential DDS
Practice Address 5 Hdsn Vly Prof Plz
Newburgh
NY 12550
Mailing Address 303 Columbine Ln
New Windsor
NY 12553-5467
Practice Telephone 8455625570
Mailing Telephone 3475521023
Enumeration Date 2016-05-02
Last Update Date 2018-12-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
059470 NY Dental Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
3127 35th St Apt 3f, Astoria, NY 11106 3475521023
9438 59th Ave, Elmhurst, NY 113735151 7186991100
567 W 191st St Apt 34, New York, NY 100403509 3475521023

Office Location

Street Address 5 HDSN VLY PROF PLZ
City NEWBURGH
State NY
Zip Code 12550

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356727242 Maria A Cohen Dentist 5 Hdsn Vly Prof Plz, Newburgh, NY 12550-3150 2015-08-03
1396362976 Amanda R Smith Social Worker 5 Hdsn Vly Prof Plz, Newburgh, NY 12550-3150 2020-06-30
1164041836 Riley Counseling & Behavioral Health Services Inc Social Worker 5 Hdsn Vly Prof Plz, Newburgh, NY 12550-3150 2020-04-13
1407493158 Ashley Dana Mann Social Worker 5 Hdsn Vly Prof Plz, Newburgh, NY 12550-3150 2019-12-02
1053879205 Jessica Pforte Counselor 5 Hdsn Vly Prof Plz, Newburgh, NY 12550-3150 2019-03-06
1366900748 Thomas Jude Riley Jr. Nurse Practitioner 5 Hdsn Vly Prof Plz, Newburgh, NY 12550-3150 2019-03-05
1851868194 Smile Dentist P.C. Dentist 5 Hdsn Vly Prof Plz, Newburgh, NY 12550-3150 2018-10-24
1700360872 Samantha Marie Scapoli Social Worker 5 Hdsn Vly Prof Plz, Newburgh, NY 12550-3150 2018-09-24
1083198881 Sarah Hicks Social Worker 5 Hdsn Vly Prof Plz, Newburgh, NY 12550-3150 2018-09-18
1700368610 Madeline Joy Riley Social Worker 5 Hdsn Vly Prof Plz, Newburgh, NY 12550-3150 2018-09-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154986057 Jennifer Lauren Steckenrider Optometrist 1201 Ny-300, Newburgh, NY 12550 2019-05-06
1386103125 Dorian Kim Shann Physical Therapist 53 Ny-17k Suite 2, Newburgh, NY 12550 2019-03-19
1083186100 Kimberly Ellen Vondras Registered Nurse 21-23 Grand Street, Newburgh, NY 12550 2018-12-31
1487144887 Jenna Gaudio Dentist 1413 Union Ave, Newburgh, NY 12550 2018-05-11
1215431119 Diane Gonzales Counselor 3 Commercial Place, Newburgh, NY 12550 2018-03-23
1386148740 Cvs Albany LLC Pharmacy 203 South Plank Rd, Newburgh, NY 12550 2018-03-21
1063939510 Paula A. Coloni Social Worker One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 2017-08-25
1306362652 Richard Malvey Counselor 172 Liberty Street, Newburgh, NY 12550 2017-08-18
1770008559 Walgreen Co Pharmacy 59 N Plank Rd Ste 2, Newburgh, NY 12550 2017-08-14
1639691017 Danielle Elizabeth Ingrassia Behavioral Analyst 8 Crestwood Ct., Newburgh, NY 12550 2017-07-07
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144783655 Lauren Garcia Dentist 1413 Route 300, Newburgh, NY 12550-2905 2019-04-11
1053608042 Family Dentistry Dentist 10655 State Road 662, Newburgh, IN 47630 2011-06-29
1649461880 Hayer Davud Dentist 50 West Street, Newburgh, NY 12550 2007-08-05
1831396597 Barbra Shea Perkins Dentist 8788 Ruffian Ln, Suite B, Newburgh, IN 47630-3405 2007-06-27
1841401064 Robert L Kopman Dentist 273 Route 17k, Newburgh, NY 12550-2315 2007-05-28
1417176033 Ngozi Agatha Ubu Dentist Goldstein and Freud Dds, 1401 Route 300, Newburgh, NY 12550 2007-04-24
1982820163 Yoel Rubin Megadesh Dentist 1401 Rt. 300, Newburgh, NY 12550 2007-04-17
1073638052 Dental Associates of Evansville P.c Dentist 7855 W State Route 66, Newburgh, IN 47630-2542 2007-03-20
1215064522 James R Bigham II Dentist 4333 State Route 261 Ste A, Newburgh, IN 47630-2668 2007-02-27
1194882340 David G Ogle Dentist 10622 State Rd. 662, Newburgh, IN 47630 2007-01-03
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Competitor

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City NEWBURGH
Zip Code 12550

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Dataset Information

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.

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