Healthcare Provider Details

I. General information

NPI: 1003596453
Provider Name (Legal Business Name): CHAEYOUNG HONG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHAEYOUNG HONG DDS

II. Dates (important events)

Enumeration Date: 07/20/2023
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date: 02/26/2024
Reactivation Date: 02/24/2025

III. Provider practice location address

406 32ND ST STE 2
UNION CITY NJ
07087-3978
US

IV. Provider business mailing address

342 JOHNSTON AVE
JERSEY CITY NJ
07304-4543
US

V. Phone/Fax

Practice location:
  • Phone: 201-223-2140
  • Fax:
Mailing address:
  • Phone: 646-630-2710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN10001189
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN03837
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: