Active NPIIndividual providerSole proprietor

Dr. Stephen Chung, DDS

Dentist, General Practice in Jersey City, New Jersey

NPI Number1619551702
Practice location
472 Central Ave, Jersey City, NJ 07307-2611
Fax
—
Last updated
October 5, 2024

Stephen Chung is a Dentist, General Practice based in Jersey City, NJ. Stephen Chung practices in Jersey City, NJ and has the professional credentials of DDS. The NPI Number for Stephen Chung is 1619551702 and holds a License No. 062777 (NY). The current practice location address for Stephen Chung is 472 Central Ave, Jersey City, NJ 07307-2611 and can be reached out via phone at 551-298-3878.

Provider Profile Details

NPI Number
1619551702
Provider Name
Stephen Chung
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
472 Central Ave, Jersey City, NJ 07307-2611
Phone Number
551-298-3878
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
May 6, 2021
Last Update Date
October 5, 2024
Certification Date
October 5, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
472 Central Ave
Jersey City, NJ 07307-2611
Zip
07307-2611
Phone Number
551-298-3878
Jersey City, NJ 07307Get directions →

Provider Business Mailing Address Details

Address
1575 Harbor Blvd Apt 3817
Weehawken, NJ 07086-6671
City
Weehawken
State
NJ
Zip
07086-6671
Phone Number
434-429-8505

License Information

License Number (1)
062777
License State (1)
NY
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
22DI02847500
License State (2)
NJ
Taxonomy (2)
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Stephen Chung, DDS?

The NPI number of Dr. Stephen Chung, DDS is 1619551702. It was assigned on May 6, 2021 and is currently active in the NPPES registry.

What is the specialty of Dr. Stephen Chung, DDS?

Dr. Stephen Chung, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NY under license number 062777.

Where does Dr. Stephen Chung, DDS practice?

The practice location is 472 Central Ave, Jersey City, NJ 07307-2611. The office can be reached at 551-298-3878 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619551702 directly on the NPPES registry website.

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