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Deactivated NPI 1265058184 Deactivated / Inactive NPI Male Practitioner

Dr. Joonsung Yeom , DDS

Dentist - General Practice • Camden, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Joonsung Yeom has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 17, 2020
NPI Deactivation Date February 10, 2022
Total Practice Duration ~2 Years of Practice (2020 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Joonsung Yeom, DDS was a registered Dentist - General Practice practicing in Camden, NJ. Throughout an active medical career spanning 2 years, Dr. Yeom provided care at the practice location at 817 FEDERAL ST until profile deactivation on 2022-02-10.

Practice Location & Contact Primary Location

Practice Address

817 Federal St

Camden, NJ 081031539

Telephone 8565832400
Associated Practice Facility / Clinic
🏢 Camcare Health Corporation Facility NPI 1790857696

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Camden, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
24 Specialists

Practicing in Camden, NJ (4316 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-11-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NJ 22DI02945500

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

35 Associated Practitioners
Stephen Chan

Dentist - General Practice

NPI 1003592619
Dr. Richard Hellander , MD

Internal Medicine - Addiction Medicine

NPI 1003846932

Doctor of Medicine (M.D.)

Dr. Anukriti Gupta , DMD

Dentist - General Practice

NPI 1013376904

Doctor of Dental Medicine

Dr. Ume Farwa , MD

Obstetrics & Gynecology

NPI 1033365952

Doctor of Medicine (M.D.)

Melina Jackman

Social Worker

NPI 1154064913
Saunjii Jacobs , WHNP-BC

Nurse Practitioner - Women's Health

NPI 1154176998

Women's Health Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Practice Location November 10, 2023

Registered at 817 FEDERAL ST, CAMDEN, NJ 081031539 (Tel: 8565832400)

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Updated Business Mailing Address November 10, 2023

Registered at 817 FEDERAL ST, CAMDEN, NJ 081031539 (Tel: 8565832400)

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2023

Dentist (License #22DI02945500 in NJ)

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Updated Practice Location July 25, 2023

Registered at 335R PRAIRIE AVE, PROVIDENCE, RI 029052426 (Tel: 4014440430)

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Updated Business Mailing Address July 25, 2023

Registered at 375 ALLENS AVE, PROVIDENCE, RI 029055010 (Tel: 4017802511)

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Updated Business Mailing Address January 26, 2023

Registered at 7525 153RD ST APT 1132, FLUSHING, NY 113674004 (Tel: 9294686077)

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Updated Practice Location March 16, 2022

Registered at 56-45 MAIN STREET, FLUSHING, NY 11355 (Tel: 7186701520)

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Updated Business Mailing Address March 16, 2022

Registered at 75-25 153RD ST, APT 346, FLUSHING, NY 11367 (Tel: 9294686077)

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Provider Name / Credentials Updated March 16, 2022

Recorded as JOONSUNG YEOM, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2022

Student in an Organized Health Care Education/Training Program

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NPI Profile Deactivated February 10, 2022

Record deactivated on February 10, 2022

NPI Profile Active June 17, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2020

Registered at 56-45 MAIN STREET, FLUSHING, NY 11355 (Tel: 7186701520)

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Updated Business Mailing Address June 17, 2020

Registered at 155 DAEWANG PANGYO-RO, THE HERITAGE 114-103, SUNGNAM-SI, GYEONGGI-D 13552

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Provider Name / Credentials Updated June 17, 2020

Recorded as JOONSUNG YEOM, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2020

Student in an Organized Health Care Education/Training Program

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Initial NPI Registration & Enumeration June 17, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265058184
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2020
Last Update: November 10, 2023
Deactivation Date: February 10, 2022
Sole Proprietor: No

Mailing Address

817 Federal St

Camden, NJ 081031539

Phone: 8565832400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.