Jake Wong DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

057893 Issued in NY

Legal business name

JAKE WONG DDS PC

Practice address

8684 15TH Ave
Brooklyn, NY 11228-3409

Phone

(718) 256-5858

Fax

(646) 357-1579

NPI assigned

Sep 15, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jake H Wong, D.D.S.

Title

Dentist Owner

Phone

(718) 256-5858

Specialties & licenses 1

Addresses

Other names 1

• FirstCare Dental Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1013385541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8684 15TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283409",
            "telephone_number": "718-256-5858",
            "fax_number": "646-357-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8684 15TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283409",
            "telephone_number": "718-256-5858",
            "fax_number": "646-357-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAKE WONG DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "JAKE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "718-256-5858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "057893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstCare Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alin Jajati
• Sally Jajati
• Daphney Jajoute
• Andrea Jakab, PTA
• Yehudis L Jakabovics
• Jakhongir Trans Inc
• Vikram Jakkamsetti
• Sohan Kumar Jakkaraju, MD
• Lyubov Jakob, MSED
• Rachel Jakob, L.AC

• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.

Verify at the official NPI Registry.