Active NPI
Peter Chen, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Bayside, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 059565
- Practice address
- 3629 Bell Blvd Ste 201
Bayside, NY 11361-2056 - Phone
- (917) 740-5779
- NPI assigned
- Feb 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 059565 | NY | Primary |
Addresses
Primary practice location
3629 Bell Blvd Ste 201
Bayside, NY 11361-2056
Mailing address
389 E 89TH St Apt 17G
New York, NY 10128-5207
Phone (347) 728-8300
Other practice location 1
17411 Horace Harding Expy
Fresh Meadows, NY 11365-1527
Phone (718) 670-1060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 059565 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Queens Medicine and Surgery, P.C. | Current | Accepting new patients | |
| New York Queens Medicine and Surgery, P.C. | Current | Accepting new patients | |
| Peter Chen Dental PLLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
Locations
3629 Bell Blvd
Ste 201
Bayside, NY 11361
Phone (917) 740-5779
5645 Main St
Flushing, NY 11355
Phone (718) 670-1435
17411 Horace Harding Expy
Fresh Meadows, NY 11365
Phone (718) 670-1060
16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121
2649 Strang Blvd
Ste 304
Yorktown Heights, NY 10598
Phone (646) 745-6369
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Fresh Meadows, NY
- NPI 1003114851
-
- Oral and Maxillofacial Surgery (Dentist)
- Bayside, NY
- NPI 1053298679
-
- Multi-Specialty Clinic/Center
- Flushing, NY
- NPI 1740792233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1518325992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "389 E 89TH ST APT 17G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101285207",
"telephone_number": "347-728-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3629 BELL BLVD STE 201",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612056",
"telephone_number": "917-740-5779"
}
],
"practiceLocations": [
{
"address_1": "17411 Horace Harding Expy",
"address_purpose": "LOCATION",
"city": "Fresh Meadows",
"state": "NY",
"postal_code": "113651527",
"country_code": "US",
"telephone_number": "718-670-1060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEN",
"first_name": "PETER",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-01",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "059565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.