Jimmy Chae, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

060711 Issued in NY

Practice address

696 Anderson Ave # 2NDF
Cliffside Park, NJ 07010-2079

Phone

(201) 945-1094

Fax

(201) 945-1124

NPI assigned

Jun 28, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• JC Dental Works LLC

  dba Bergen Dental Studio

  • General Practice Dentistry
  • Cliffside Park, NJ
  • NPI 1023699444
  NPD Authorized official

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1376038661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 KARENS LN",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076321905",
            "telephone_number": "201-230-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 ANDERSON AVE # 2NDF",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102079",
            "telephone_number": "201-945-1094",
            "fax_number": "201-945-1124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "374 Stockholm St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112374006",
            "country_code": "US",
            "telephone_number": "718-963-7174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "408 Knickerbocker Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112374102",
            "country_code": "US",
            "telephone_number": "718-573-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAE",
        "first_name": "JIMMY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-28",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "060711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valeria Capozzi
• Teresa Carrieri, RD
• Kevin Castro
• Katherine Elizabeth Catapano
• Centers for Integrated Pain Treatment, PC
• Lauren Chang
• Chat Room Counseling Center (The CHAT Room)
• Kimberly Chen
• Huey H Cheng, RPSGT
• Chicas Counseling Services, LLC

• General Practice Dentistry in Cliffside Park, NJ
• Providers in Cliffside 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 Apr 16, 2021; 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.