Penelope Chang DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PENELOPE CHANG DDS PC

Practice address

2 Westervelt Ave
1St Floor
Tenafly, NJ 07670-2726

Phone

(201) 568-4568

NPI assigned

Jun 11, 2008

Organization subpart

No

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

Authorized official

Name

Penelope Chang, DDSNPI 1760474365

Title

President

Phone

(201) 568-4568

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Penelope Chang, D.D.S.

  • General Practice Dentistry
  • Tenafly, NJ
  • NPI 1760474365
  NPD (past) Authorized official

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1205096302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WESTERVELT AVE",
            "address_2": "1ST FLOOR",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702726",
            "telephone_number": "201-568-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WESTERVELT AVE",
            "address_2": "1ST FLOOR",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702726",
            "telephone_number": "201-568-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENELOPE CHANG DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "PENELOPE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-568-4568",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyo Soon Park, PMHNP
• Manthan Patel, PT
• Bari Patnoi, MS, OTR/L
• Peak Performance of Union (Tenafly Physical Medicine)
• Pediatric Endocrinology Associates
• John Paulo Canlubo Penetrante, PMHNP-C
• Bianca S Pereira, PT
• Alyson Perna
• Sophia Perrothers, M.S.ED., CCC-SLP
• Susan Ginsberg Petak, PHD

• General Practice Dentistry in Tenafly, NJ
• Providers in Tenafly, 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 Jun 11, 2008; 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.