Healthcare Provider Details

I. General information

NPI: 1699451773
Provider Name (Legal Business Name): XUER JIN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DONNA ZHENG

II. Dates (important events)

Enumeration Date: 06/23/2023
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 HOBART ST
PERTH AMBOY NJ
08861-3396
US

IV. Provider business mailing address

275 HOBART ST
PERTH AMBOY NJ
08861-3396
US

V. Phone/Fax

Practice location:
  • Phone: 732-376-9333
  • Fax:
Mailing address:
  • Phone: 732-376-9333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number22DI03107000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: