Winston W Chen, D.D.S. PHD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01087000 Issued in NJ

Practice address

131 Broad Ave
Palisades Park, NJ 07650-1441

Phone

(201) 947-6060

Fax

(201) 461-0544

NPI assigned

Oct 18, 2006

Last updated

May 15, 2013By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1598846214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 BROAD AVE",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501441",
            "telephone_number": "201-947-6060",
            "fax_number": "201-461-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 BROAD AVE",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501441",
            "telephone_number": "201-947-6060",
            "fax_number": "201-461-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "WINSTON",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.D.S. PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "032067",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01087000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXPAYER ID NUMBER",
            "identifier": "223697098",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Broadway Optical LLC
• Alfonso C. Bullock II, O.D.
• Careone Physical Therapy, P.C.
• Chamomile Counseling LLC
• Kenneth K Chen, D.M.D.
• Ki-Young Cho
• Minhyun Cho
• Naeun Cho
• Yoonju Cho
• Joseph Lee Choe, M.D.

• General Practice Dentistry in Palisades Park, NJ
• Providers in Palisades Park, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.