Individual provider Active NPI

Peter Chen, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Bayside, NY
National Provider Identifier
1518325992
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
059565 Issued in NY
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

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210803000646 NY Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 8820492515 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
059565NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
New York Queens Medicine and Surgery, P.C. CurrentSince Jul 20, 2021 Accepting new patients
New York Queens Medicine and Surgery, P.C. Current Accepting new patients
Peter Chen Dental PLLC Oral and Maxillofacial Surgery CurrentSince Oct 12, 2025 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.

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

Verify at the official NPI Registry.