Sungkoo Jang, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

22DI02279200 Issued in NJ

Practice address

2015 Center Ave FL 1
Fort Lee, NJ 07024-4707

Phone

(201) 592-1046

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1578699294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 CENTER AVE FL 1",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244707",
            "telephone_number": "201-592-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 CENTER AVE FL 1",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244707",
            "telephone_number": "201-592-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANG",
        "first_name": "SUNGKOO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NJ",
            "license": "22DI02279200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Jacobs, PH.D.
• Jacqueline Kim Szabo, LCSW LLC
• Jamie Diament-Golub, DMD PC
• Jane Star Corporation
• Eunjeong Jang
• Ye Jin Jang, BCBA
• Jeffrey M. Ahn, M.D., P.C.
• Jonathane Soo Jeon, D.D.S.
• Sooyeon Jeong
• Louis Jerome, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.