Active NPI
Matthew Chin
- Dentist
- Wayne, NJ
National Provider Identifier
1740568997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02451600
- Practice address
- 573 Valley Rd Ste 4a
4A
Wayne, NJ 07470-3552 - Phone
- (973) 696-0170
- Fax
- (973) 696-0170
- NPI assigned
- Jul 21, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02451600 | NJ | Primary |
Addresses
Primary practice location
573 Valley Rd Ste 4a
4A
Wayne, NJ 07470-3552
Mailing address
15 Split Rock Rd
North Haledon, NJ 07508-2857
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 |
|---|---|---|---|
| 22DI02451600 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caring Family Dental, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Wayne, NJ
- NPI 1558796532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378684800000",
"number": "1740568997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 SPLIT ROCK RD",
"city": "NORTH HALEDON",
"state": "NJ",
"postal_code": "075082857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "573 VALLEY RD STE 4A",
"address_2": "4A",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074703552",
"telephone_number": "973-696-0170",
"fax_number": "973-696-0170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIN",
"first_name": "MATTHEW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-21",
"last_updated": "2013-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02451600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, NJ
- Rebecca Cheshire, MS OTR/L
- Children'S Aid and Family Services, Inc.
- Children'S Lung Asthma & Pulmonary Specialists Claps MD
- Kuljit Chima, M.D.
- Channing Yee Chin, M.D.
- Angel Gabriel Chinea Vicente, M.D.
- Chinese Acupuncture Rejuvenation Center
- Chiro Care on the Go LLC
- Chiropractic Wellness Solutions
- Chiropractic Works of Wayne LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.