DR. JAMES YU-JEN SU D.D.S. NPI 1710976923

NPI Information

  • NPI: 1710976923
  • Provider Name: DR. JAMES YU-JEN SU, D.D.S.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 601 W 181ST ST
    SUITE 24
    NEW YORK, NY
    ZIP 10033
  • Phone: (212) 928-4800

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NPI Details

DR. James Yu-jen Su, D.D.S. is an oral and maxillofacial surgery dentist in New York, NY. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. James Yu-jen Su, D.D.S. NPI is 1710976923. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

601 W 181ST ST
SUITE 24
NEW YORK, NY
ZIP 10033-914
Phone: (212) 928-4800
Fax: (212) 928-3436

The NPI 1710976923 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/19/2005 and was last updated on 8/19/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery041389NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101078528MEDICAIDNEW YORK
2T97468MEDICARE UPIN
3D2G731MEDICARE ID-TYPE UNSPECIFIED
4D2G732MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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