Wonwoo Jang, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1857350 Issued in MA

Practice address

18A E Washington PL
Palisades Park, NJ 07650-3620

Phone

(917) 921-9112

NPI assigned

Feb 14, 2013

Last updated

Oct 31, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: woj7001@direct.nyp.org

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1114266947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18A E WASHINGTON PL",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076503620",
            "telephone_number": "917-921-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18A E WASHINGTON PL",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076503620",
            "telephone_number": "917-921-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANG",
        "first_name": "WONWOO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-14",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1857350",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "057695",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Who Sun Im
• Inspire Chiropractic P.C.
• Catherine Jang
• Julia Hyun Jang, PHARMD
• Samantha Hyowon Jang, RN
• Hyunah Jee
• Jha Chiropractic LLC
• Jhuns Medical PC
• Daehwan Ji, L.AC
• Jin Pharmacy LLC

• General Practice Dentistry in Palisades Park, NJ
• Providers in Palisades Park, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.

Verify at the official NPI Registry.