Justin I Chung, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02480100 Issued in NJ

Practice address

2044 Center Ave
Suite 2
Fort Lee, NJ 07024-4930

Phone

(201) 242-9700

NPI assigned

Sep 5, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• W Dental Practice

  • Dentist
  • White Plains, NY
  • NPI 1326518440
  NPD Authorized official
• S Dental Clinic LLC

  • Dentist
  • Fort Lee, NJ
  • NPI 1437516853
  NPD (past) Authorized official

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1467701599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 CENTER AVE",
            "address_2": "SUITE 2",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244930",
            "telephone_number": "201-242-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2044 CENTER AVE",
            "address_2": "SUITE 2",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244930",
            "telephone_number": "201-242-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "JUSTIN",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-05",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "055804-01",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02480100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Chun, DMD
• Josephine Unsil Chun
• Jessica M Chung-Levy, DDS
• Caleb Young-Ju Chung, DPM
• Eurah Chung
• Moonjung Chung, DPT
• Nancy Day Chung, D.D.S.
• Serena Chung, LMHC
• Sung S. Chung, D.D.S.
• Christina Citakian, PSYCHOLOGIST

• Dentist in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.