Vivien Wai Tung Ku, DDS

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

201 Lyons Ave, Newark Beth Israel Medical Center
Department of Dentistry
Newark, NJ 07112

Phone

(973) 926-7642

Fax

(973) 926-5306

NPI assigned

Apr 11, 2017

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

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": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498780800000",
    "number": "1780117325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LYONS AVE, NEWARK BETH ISRAEL MEDICAL CENTER",
            "address_2": "DEPARTMENT OF DENTISTRY",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07112",
            "telephone_number": "973-926-7642",
            "fax_number": "973-926-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LYONS AVE, NEWARK BETH ISRAEL MEDICAL CENTER",
            "address_2": "DEPARTMENT OF DENTISTRY",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07112",
            "telephone_number": "973-926-7642",
            "fax_number": "973-926-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KU",
        "first_name": "VIVIEN",
        "middle_name": "WAI TUNG",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Krogstad, CNM
• Jessica J Krueger, MD
• Gary J Krugman, DMD
• Lauren Krukowski, LSW
• KSN LLC
• Rebecca Kucharsky Hiess, DMD
• Marissa Kudo, DO
• Frank Kuepper, MD
• Eric James Kuklinski, MD
• David Kulak

• Student in an Organized Health Care Education/Training Program in Newark, NJ
• Providers in Newark, NJ by specialty
• Student in an Organized Health Care Education/Training Program in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; 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.