Justin Kang, DMD, MS, MPH

Primary specialty

DentistTaxonomy code 122300000X

License

22DI 02602500 Issued in NJ

Practice address

321 Broad Ave
Building F5
Ridgefield, NJ 07657-2346

Phone

(201) 313-2277

NPI assigned

Jul 11, 2015

Sex

Male

Sole proprietor

Yes

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.

• Sway Dental & Facial Esthetics LLC

  • Dental Clinic/Center
  • Cranford, NJ
  • NPI 1952112815
  NPD Authorized official

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

Credentials

Master of Science

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 18, 2025.

{
    "created_epoch": "1436572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737158400000",
    "number": "1922482785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 FAIRFIELD AVE STE 1B",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066417",
            "telephone_number": "973-228-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 BROAD AVE",
            "address_2": "BUILDING F5",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076572346",
            "telephone_number": "201-313-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "DMD, MS, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-11",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI 02602500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Joson
• Jung F Wu MD PA
• Jy Lee Chiropractic LLC
• Mona Kahil, DNP, MSN, A-GNP-C
• Han Jong Kang, D.D.S
• Raffi Kaprielian, DDS
• Kata Physical Therapy PC
• Samerh M Khalil
• Jane Kyunghee Kim-Jin, L.AC
• Chan-Kyu Kim, DMD

• All providers in Ridgefield, NJ
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2025; 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.