Active NPI
Joshua Seungju Chung, D.M.D.
- Dentist
- Vernon, NJ
National Provider Identifier
1003048844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02144900
- Practice address
- 6 Church Street
Vernon, NJ 07462 - Phone
- (973) 764-7483
- NPI assigned
- Aug 12, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02144900 | NJ | Primary |
| General Practice Dentistry | 1223G0001X | 049142 | NY |
Addresses
Primary practice location
6 Church Street
Vernon, NJ 07462
Mailing address
PO Box 1152
Vernon, NJ 07462
Phone (973) 764-7483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02144900 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpha & Omega Dental of NJ, LLP | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Vernon, NJ
- NPI 1851788350
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431907200000",
"number": "1003048844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1152",
"city": "VERNON",
"state": "NJ",
"postal_code": "07462",
"telephone_number": "973-764-7483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 CHURCH STREET",
"city": "VERNON",
"state": "NJ",
"postal_code": "07462",
"telephone_number": "973-764-7483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "JOSHUA",
"middle_name": "SEUNGJU",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-12",
"last_updated": "2015-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02144900",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "049142",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vernon, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.