NPIMap

Organization Active NPI

Jake Wong DDS PC

Doing business as FirstCare Dental Center

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1013385541
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
057893 Issued in NY
Legal business name
JAKE WONG DDS PC
Doing business as
FirstCare Dental Center
Practice address
8684 15TH Ave
Brooklyn, NY 11228-3409
Phone
(718) 256-5858
Fax
(646) 357-1579
NPI assigned
Sep 15, 2015
Last updated
Sep 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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.NPI 1902226582
Title
Dentist Owner
Phone
(718) 256-5858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 057893 NY Primary

Addresses

Primary practice location

8684 15TH Ave
Brooklyn, NY 11228-3409

Mailing address

8684 15TH Ave
Brooklyn, NY 11228-3409
Phone (718) 256-5858

Other names 1

  • FirstCare Dental Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • 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.