Active NPIIndividual provider

Peter H Jin, DDS

Dentist in Palisades Park, New Jersey

NPI Number1912296898
Practice location
535 Broad Ave Fl 2, Palisades Park, NJ 07650-1607
Fax
—
Last updated
October 7, 2014

Peter Hyungbaik Jin is a Dentist based in Palisades Park, NJ. Peter Hyungbaik Jin practices in Palisades Park, NJ and has the professional credentials of DDS. The NPI Number for Peter Hyungbaik Jin is 1912296898 and holds a License No. 056094 (NY). The current practice location address for Peter Hyungbaik Jin is 535 Broad Ave Fl 2, Palisades Park, NJ 07650-1607 and can be reached out via phone at 201-592-0111.

Provider Profile Details

NPI Number
1912296898
Provider Name
Peter Hyungbaik Jin
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
535 Broad Ave Fl 2, Palisades Park, NJ 07650-1607
Phone Number
201-592-0111
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
March 31, 2011
Last Update Date
October 7, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
535 Broad Ave Fl 2
Palisades Park, NJ 07650-1607
Zip
07650-1607
Phone Number
201-592-0111
Palisades Park, NJ 07650Get directions →

Provider Business Mailing Address Details

Address
535 Broad Ave Fl 2
Palisades Park, NJ 07650-1607
City
Palisades Park
State
NJ
Zip
07650-1607
Phone Number
201-592-0111

License Information

License Number (1)
056094
License State (1)
NY
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
22DI02586300
License State (2)
NJ
Taxonomy (2)
Dentist · 122300000X · 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 Peter H Jin, DDS?

The NPI number of Peter H Jin, DDS is 1912296898. It was assigned on March 31, 2011 and is currently active in the NPPES registry.

What is the specialty of Peter H Jin, DDS?

Peter H Jin, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NY under license number 056094.

Where does Peter H Jin, DDS practice?

The practice location is 535 Broad Ave Fl 2, Palisades Park, NJ 07650-1607. The office can be reached at 201-592-0111 (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 1912296898 directly on the NPPES registry website.

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