Dayen Peter D Wang, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

22D101532900 Issued in NJ

Practice address

1625 Anderson Ave
#302
Fort Lee, NJ 07024

Phone

(201) 585-0847

Fax

(201) 585-1311

NPI assigned

Nov 15, 2006

Last updated

Mar 3, 2014By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• JPW Dental LLC

  • Dentist
  • Fort Lee, NJ
  • NPI 1407216674
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1639241532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 ANDERSON AVE",
            "address_2": "#302",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "07024",
            "telephone_number": "201-585-0847",
            "fax_number": "201-585-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 ANDERSON AVE",
            "address_2": "#302",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "07024",
            "telephone_number": "201-585-0847",
            "fax_number": "201-585-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "DAYEN PETER",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22D101532900",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "038072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iryna Volska, OTR
• Irina Volynsky, PHD
• Walgreen Co (Walgreens #19903)
• Walgreen Eastern Co Inc (Walgreens #01879)
• Dennis A. Walker, D.M.D.
• Hongyi Wang
• Joseph Wang, DDS, MS
• Kyu Sung Wang, MD
• Michelle Marie Wankmuller, PH.D.
• Sung Bam Wee, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.