Active NPI
Phoebe S Jang, DDS
- Dentist
- Rockville Centre, NY
National Provider Identifier
1598405524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 063310
- Practice address
- 132 N Park Ave
Rockville Centre, NY 11570-4107 - Phone
- (516) 534-5498
- NPI assigned
- Mar 29, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 063310 | NY | Primary |
Addresses
Primary practice location
132 N Park Ave
Rockville Centre, NY 11570-4107
Mailing address
132 N Park Ave
Rockville Centre, NY 11570-4107
Phone (516) 534-5498
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 |
|---|---|---|---|
| 063310 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775952000000",
"number": "1598405524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 N PARK AVE",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115704107",
"telephone_number": "516-534-5498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 N PARK AVE",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115704107",
"telephone_number": "516-534-5498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANG",
"first_name": "PHOEBE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-29",
"last_updated": "2026-04-12",
"certification_date": "2026-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "063310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville Centre, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.