Individual provider Active NPI

Charles Wei, DDS, MPH

  • Prosthodontics
  • Jersey City, NJ
National Provider Identifier
1043626732
Registry record updated Oct 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
22DI02778200 Issued in NJ
Practice address
351 Marin Blvd
Jersey City, NJ 07302-4822
Phone
(201) 484-0811
Fax
(201) 484-0833
NPI assigned
Jul 2, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 22DI02778200 NJ Primary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 059502 NY

Addresses

Primary practice location

351 Marin Blvd
Jersey City, NJ 07302-4822

Mailing address

55 Center St
Metuchen, NJ 08840-1860
Phone (832) 287-2264

Other practice location 1

2044 Center Ave Ste 1
Fort Lee, NJ 07024-4930
Phone (201) 585-8050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210202000112 NJ Order and Referring Only - DentistPractitioner - Dentist 5597179697

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02778200NJMDProsthodontist
059502NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Comfort Dental Clinic, LLC Multi-Specialty Past Accepting new patients
Beam Dental Edison, PC PastSince Jul 1, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697241600000",
    "number": "1043626732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CENTER ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088401860",
            "telephone_number": "832-287-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 MARIN BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024822",
            "telephone_number": "201-484-0811",
            "fax_number": "201-484-0833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2044 Center Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Fort Lee",
            "state": "NJ",
            "postal_code": "070244930",
            "country_code": "US",
            "telephone_number": "201-585-8050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEI",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DDS, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-02",
        "last_updated": "2023-10-14",
        "certification_date": "2023-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "NJ",
            "license": "22DI02778200",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "059502",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.