Penelope Chang, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02200700 Issued in NJ

Practice address

2 Westervelt Ave
1St Floor
Tenafly, NJ 07670-2726

Phone

(201) 568-4568

NPI assigned

Aug 19, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Penelope Chang DDS PC

  • General Practice Dentistry
  • Tenafly, NJ
  • NPI 1205096302
  NPD (past) Authorized official

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1760474365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WESTERVELT AVE",
            "address_2": "1ST FLOOR",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702726",
            "telephone_number": "201-568-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WESTERVELT AVE",
            "address_2": "1ST FLOOR",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702726",
            "telephone_number": "201-568-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "PENELOPE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02200700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Campbell, DPT
• Kelli Cassetta-Zeig, BCBA
• Catherine Marie Cavaliere, PHD, OTR/L
• Center for Same Day Surgery LLC
• Helen Chae, DPT
• Charles G. Garbaccio, Mdpa
• Charles Goodstein,M.D.,P.a.
• Dorje Chen, DC
• Pema Yang Chen, L.AC.
• Stephen Harold Chenen, M.D.

• General Practice Dentistry in Tenafly, NJ
• Providers in Tenafly, 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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.