Healthcare Provider Details

I. General information

NPI: 1760324131
Provider Name (Legal Business Name): JEFFREY CHAO ZHANG DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 MAIN AVE
PASSAIC NJ
07055-4952
US

IV. Provider business mailing address

1701 GREY FRIARS CHASE
VIRGINIA BEACH VA
23456-5437
US

V. Phone/Fax

Practice location:
  • Phone: 732-679-3600
  • Fax: 973-574-1000
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD13520600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: