Organization Active NPI

Modern Dental New Jersey PC

  • General Practice Dentistry
  • West Orange, NJ
National Provider Identifier
1255252417
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MODERN DENTAL NEW JERSEY PC
Practice address
464 Eagle Rock Ave Ste B
West Orange, NJ 07052-3637
Phone
(973) 324-9999
Fax
(973) 731-4444
NPI assigned
Jul 23, 2026
Last updated
Jul 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Youngman Chun, DDS
Title
Dentist/Owner
Phone
(973) 324-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

464 Eagle Rock Ave Ste B
West Orange, NJ 07052-3637

Mailing address

464 Eagle Rock Ave Ste B
West Orange, NJ 07052-3637
Phone (973) 324-9999

National Provider Directory

National Provider Directory

Locations

464 Eagle Rock Ave
Ste B
West Orange, NJ 07052

NPI Registry JSON

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

{
    "created_epoch": "1784764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1255252417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 EAGLE ROCK AVE STE B",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523637",
            "telephone_number": "973-324-9999",
            "fax_number": "973-731-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 EAGLE ROCK AVE STE B",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523637",
            "telephone_number": "973-324-9999",
            "fax_number": "973-731-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN DENTAL NEW JERSEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-23",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "YOUNGMAN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "973-324-9999",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.