Queens Oral and Facial Surgery

Primary specialty

DentistTaxonomy code 122300000X

License

051051 Issued in NY

Legal business name

QUEENS ORAL AND FACIAL SURGERY

Practice address

40-19 159TH St.
1 FL.
Flushing, NY 11358

Phone

(718) 358-5488

Fax

(917) 285-2676

NPI assigned

Nov 4, 2014

Organization subpart

Yes

Parent organization

QUEENS ORAL AND FACIAL SURGERYAs reported in NPPES

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

Authorized official

Name

Dr. Jehyun Chong, D.D.S

Title

Dentist

Phone

(718) 358-5488

Specialties & licenses 3

Addresses

Part of

Queens Oral and Facial Surgery

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Oral and Facial Surgery of Queens

  • Oral and Maxillofacial Surgery (Dentist)
  • Elmhurst, NY
  • NPI 1215806658
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Shim, D.M.D

  • General Practice Dentistry
  • Flushing, NY
  • NPI 1992151120
  NPD (past)

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1790180693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40-19 159TH ST.",
            "address_2": "1 FL.",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11358",
            "telephone_number": "718-358-5488",
            "fax_number": "917-285-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40-19 159TH ST.",
            "address_2": "1 FL.",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11358",
            "telephone_number": "718-358-5488",
            "fax_number": "917-285-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS ORAL AND FACIAL SURGERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUEENS ORAL AND FACIAL SURGERY",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "CHONG",
        "authorized_official_first_name": "JEHYUN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-358-5488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "051051",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "051035",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "051829",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Queens Neurology and Neuromuscular Medicine, PLLC
• Queens Ny Medical Health Care PC
• Queens OB/GYN, P.C.
• Queens Optical Center, Inc.
• Queens Optometric Associates PC
• Queens Physician Associates, PC
• Queens Recovery Center, LLC
• Queens Relationship Counseling LCSW PLLC
• Queens Surgical Center LLC
• Queens Vision Optometry PC

• Dentist in Flushing, NY
• Providers in Flushing, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.