Individual provider Active NPI

James Chu-Wen Fang, D.D.S

  • Oral and Maxillofacial Surgery (Dentist)
  • Morristown, NJ
National Provider Identifier
1689744088
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
22DI02454800 Issued in NJ
Practice address
290 Madison Ave Ste 1a
Morristown, NJ 07960-7401
Phone
(973) 538-5338
Fax
(973) 538-5343
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 050556 NY
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 22DI02454800 NJ Primary

Addresses

Primary practice location

290 Madison Ave Ste 1a
Morristown, NJ 07960-7401

Mailing address

2299 Stocker LN
Scotch Plains, NJ 07076-2119
Phone (908) 889-4363

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02454800NJMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Morristown Oral Surgery & Implantology Associates LLC Oral and Maxillofacial Surgery Current Accepting new patients
James Fang DDS PLLC Oral and Maxillofacial Surgery CurrentSince Nov 3, 2019 Accepting new patients

Locations

200 Metroplex Dr
Edison, NJ 08817
Phone (732) 235-4351

290 Madison Ave
Ste 1A
Morristown, NJ 07960
Phone (973) 538-5338

69 1st Ave
Raritan, NJ 08869
Phone (800) 631-5250

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1689744088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 STOCKER LN",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070762119",
            "telephone_number": "908-889-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 MADISON AVE STE 1A",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607401",
            "telephone_number": "973-538-5338",
            "fax_number": "973-538-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANG",
        "first_name": "JAMES",
        "middle_name": "CHU-WEN",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "050556",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02454800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.