Jung-San Carolyn Huang, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI17033 Issued in NJ

Practice address

1 Ronald Dr
East Hanover, NJ 07936-1420

Phone

(973) 884-8686

Fax

(973) 884-1666

NPI assigned

Sep 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Carolyn Liu Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922103506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 CHARLES RD",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079241921",
            "telephone_number": "908-630-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RONALD DR",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079361420",
            "telephone_number": "973-884-8686",
            "fax_number": "973-884-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "JUNG-SAN",
        "middle_name": "CAROLYN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI17033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "LIU",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kamal A. Hamed, M.D.
• Hanover Healthcare LLC (Hanover Pharmacy)
• Hanover Park Regional High School District
• Hanover Park Regional High School District
• Ibrahim A Housri, M.D.
• Gregory John Hunter, OPHTHALMIC DISPENSER
• Insight Clinical Services, LLC
• Jessica Intromasso
• Carol Irving, MD
• Melvin Itty, DPT

• General Practice Dentistry in East Hanover, NJ
• Providers in East Hanover, 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 8, 2007; 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.