Active NPI
Naru Kang, DDS
- Dentist
- Secaucus, NJ
National Provider Identifier
1417503780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02769800
- Practice address
- 333 Meadowlands Pkwy
Secaucus, NJ 07094-1804 - Phone
- (201) 864-2600
- NPI assigned
- Aug 13, 2019
- Last updated
- Dec 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02769800 | NJ | Primary |
Addresses
Primary practice location
333 Meadowlands Pkwy
Secaucus, NJ 07094-1804
Mailing address
480 2ND Ave Apt 10a
New York, NY 10016-9140
Phone (347) 401-1092
Other practice location 1
106 19th Ave Ste 90
Moline, IL 61265-3700
Phone (309) 606-4988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02769800 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boom Smiles Secaucus PC | Dentist | Past | Accepting new patients |
| Apprehensive Patient of Secaucus | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba american dental center
- General Practice Dentistry
- Secaucus, NJ
- NPI 1740473859
-
- Dentist
- Secaucus, NJ
- NPI 1568375608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575936000000",
"number": "1417503780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 2ND AVE APT 10A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100169140",
"telephone_number": "347-401-1092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 MEADOWLANDS PKWY",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "070941804",
"telephone_number": "201-864-2600"
}
],
"practiceLocations": [
{
"address_1": "106 19th Ave Ste 90",
"address_purpose": "LOCATION",
"city": "Moline",
"state": "IL",
"postal_code": "612653700",
"country_code": "US",
"telephone_number": "309-606-4988",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANG",
"first_name": "NARU",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-13",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02769800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Secaucus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.