Active NPI
Joo Hee Kang, DMD
- Pediatric Dentistry
- Elizabeth, NJ
National Provider Identifier
1609512334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 22DI02957000
- Practice address
- 65 Jefferson Ave
Elizabeth, NJ 07201-2474 - Phone
- (404) 397-9683
- NPI assigned
- May 6, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 22DI02957000 | NJ | Primary |
Addresses
Primary practice location
65 Jefferson Ave
Elizabeth, NJ 07201-2474
Mailing address
65 Jefferson Ave
Elizabeth, NJ 07201-2474
Phone (404) 397-9683
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 |
|---|---|---|---|
| 22DI02957000 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1609512334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 JEFFERSON AVE",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072012474",
"telephone_number": "404-397-9683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 JEFFERSON AVE",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072012474",
"telephone_number": "404-397-9683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "JOO HEE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-06",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NJ",
"license": "22DI02957000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabeth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.