Jae Eun Choung, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

052288-1 Issued in NY

Practice address

61 Bacon Hill Rd
Pleasantville, NY 10570-3501

Phone

(917) 656-5733

NPI assigned

Nov 28, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1134301583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 BACON HILL RD",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105703501",
            "telephone_number": "917-656-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 BACON HILL RD",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105703501",
            "telephone_number": "917-656-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUNG",
        "first_name": "JAE",
        "middle_name": "EUN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN4022",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052288-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CB Family Health NP PLLC
• Nicole Karen Cerussi, DNP, PMHNP-BC
• Karen Cespedes, LMSW
• Jeff Chao, PA-C
• Yori Chinquee
• Alyssa Ciceron
• Jessica Cigale
• Tara Clement
• James Cole
• Catherine Wheeler Corbin, PH.D., LICENSED PSYC

• General Practice Dentistry in Pleasantville, NY
• Providers in Pleasantville, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.