Stephen Chung, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02847500 Issued in NJ

Practice address

472 Central Ave
Jersey City, NJ 07307-2611

Phone

(551) 298-3878

NPI assigned

May 6, 2021

Last updated

Oct 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kyuung Woo

  dba Woo Dental

  • Dental Clinic/Center
  • Jersey City, NJ
  • NPI 1871367888
  NPD

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728086400000",
    "number": "1619551702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 HARBOR BLVD APT 3817",
            "city": "WEEHAWKEN",
            "state": "NJ",
            "postal_code": "070866671",
            "telephone_number": "434-429-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 CENTRAL AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073072611",
            "telephone_number": "551-298-3878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 W 116th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100262431",
            "country_code": "US",
            "telephone_number": "646-693-0625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "266 Harristown Rd",
            "address_purpose": "LOCATION",
            "city": "Glen Rock",
            "state": "NJ",
            "postal_code": "074523302",
            "country_code": "US",
            "telephone_number": "201-652-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-06",
        "last_updated": "2024-10-05",
        "certification_date": "2024-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "062777",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02847500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Rose Christy, DNP, CNM
• Chrnpda (JC Fyzical Audiology)
• Christina Ai-Ling Chu, O.D.
• Julia Chulyakova, PHARMD
• Daphne Chung, APN
• Church World Service Inc
• Peter Chyun, DDS
• Maureen Nicole Ciccosanti, DPT
• Tanya Cicerale, PA-C
• Christopher Cid

• General Practice Dentistry in Jersey City, NJ
• Providers in Jersey City, 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 Oct 5, 2024; 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.