Eun Sil Jang

Primary specialty

DentistTaxonomy code 122300000X

License

040472 Issued in NY

Practice address

112-03 Queens Blvd
Suite 208
Forest Hills, NY 11375

Phone

(718) 793-7015

Fax

(718) 793-7015

NPI assigned

Aug 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639285737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112-03 QUEENS BLVD",
            "address_2": "SUITE 208",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-793-7015",
            "fax_number": "718-793-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112-03 QUEENS BLVD",
            "address_2": "SUITE 208",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-793-7015",
            "fax_number": "718-793-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANG",
        "first_name": "EUN SIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "040472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01015058",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nazia Jamil, RPA-C
• Jessica Jamotta
• Ronald Jamron, RPH
• Janaki Kanumilli, MD P.C.
• Jang Acupuncture P.C.
• Daniel Alberto Jaraba Iriarte
• Ana M Jaramillo
• Howard Gary Jastrow, MA, CCC
• Fawaad Javaid
• Javier Senosiain Medical PC

• Dentist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.