Active NPI
Charles Wei, DDS, MPH
- Prosthodontics
- Jersey City, NJ
National Provider Identifier
1043626732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 22DI02778200
- 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
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 22DI02778200 | NJ | Primary |
| Prosthodontics | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210202000112 | NJ | Order and Referring Only - Dentist | 5597179697 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02778200 | NJ | MD | Prosthodontist |
| 059502 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfort Dental Clinic, LLC | Multi-Specialty | Past | Accepting new patients |
| Beam Dental Edison, PC | Past | 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.
-
- General Practice Dentistry
- Edison, NJ
- NPI 1679311740
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.