MEDICARE: DR. MICHAEL CHEN DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	22DI0270900	NJ

General Provider Information

NPI Number	:	1376023432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL CHEN DMD

Provider Business Mailing Address
First Line	:	408 W 49TH ST APT 2
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10019-7289
Country	:	US
Telephone Number	:	312-961-2103
Fax Number	:

Provider Business Practice Location Address
First Line	:	625 LAFAYETTE AVE
Second Line	:
City	:	HAWTHORNE
State	:	NJ
Zip	:	07506-3401
Country	:	US
Telephone Number	:	973-567-7773
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2018
Last Update Date	:	08/17/2018

Similar Medicare Providers

1275515231 — DR. VICTOR ROSENSON DDS
Practice Location Address:

625 LAFAYETTE AVE
HAWTHORNE, NJ
07506-3401

Practice Phone: 973-423-4841
Practice Fax: 973-423-4841

1174835300 — JOSEPH W. MONTAGNINO, MDPA
Practice Location Address:

625 LAFAYETTE AVE
HAWTHORNE, NJ
07506-3401

Practice Phone: 973-238-0055
Practice Fax: 973-238-9826

1497180038 — HAWTHORNE DENTAL ASSOCIATES PC
Practice Location Address:

625 LAFAYETTE AVE
HAWTHORNE, NJ
07506-3401

Practice Phone: 973-423-4841
Practice Fax: 973-423-4840

1487152377 — DR. YEHUDA ISSEROFF DDS
Practice Location Address:

625 LAFAYETTE AVE
HAWTHORNE, NJ
07506-3401

Practice Phone: 973-567-7773
Practice Fax:

1336442870 — EMERALD ISLE ASSISTED LIVING, INC.
Practice Location Address:

27781 HAWTHORNE BLVD
RANCHO PALOS VERDES, CA
90275-3401

Practice Phone: 310-351-7075
Practice Fax: 310-373-5338

1700643657 — ANA DRAGANA LJUBINOVIC
Practice Location Address:

12110 HINDRY AVE
HAWTHORNE, CA
90250-3401

Practice Phone: 310-725-2100
Practice Fax:

Directions to “ DR. MICHAEL CHEN DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.