Allison Youngah Jang, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02553200 Issued in NJ

Practice address

15-01 Broadway
Fair Lawn, NJ 07410-6003

Phone

(734) 709-7722

NPI assigned

Jul 3, 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

Other identifiers 3

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1275730186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WESTERVELT AVE",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702546",
            "telephone_number": "734-709-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-01 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074106003",
            "telephone_number": "734-709-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANG",
        "first_name": "ALLISON",
        "middle_name": "YOUNGAH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019646",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02553200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275730186",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5198971",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5198990",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Jacobs, LPCA
• Jaclyn Ann Jacobsen, M.S.
• Sanford Jacoby, D.M.D
• Ahmar Jafary, DO
• James M Katz MD PA
• Barry A Jansen, D.P.M.,
• Jennifer Lyanne Morabe Jardiolin
• Ariana Julia Jayasinghe, OTR/L
• Michele M Jenkins, LCSW
• Jennifer Stefanik, LCSW, LLC

• Dentist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.