DR. JASON WEN (NPI# 1063892628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063892628 |
| Entity Type | Individual |
| Full Name | DR. JASON WEN |
| Credential | DMD |
| Practice Address |
900 Northern Blvd Ste 240 Great Neck NY 11021-5337 |
| Mailing Address |
6 Robin Way Great Neck NY 11021-1024 |
| Practice Telephone | 5164826677 |
| Practice Fax Number | 5164826732 |
| Mailing Telephone | 5167287248 |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2016-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 058523-1 | NY | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760910244 | Jason Wen | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2017-05-30 |
| Street Address |
900 NORTHERN BLVD STE 240 |
| City | GREAT NECK |
| State | NY |
| Zip Code | 11021-5337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174515019 | Eric Cantos | Radiology | 900 Northern Blvd, Great Neck, NY 11021-5302 | 2005-08-17 |
| 1427500891 | Peter Patetsios Md PC | Surgery | 900 Northern Blvd, Suite 140, Great Neck, NY 11021-5337 | 2016-11-01 |
| 1891044772 | Lawrence Korn, Md LLC | Obstetrics & Gynecology | 900 Northern Blvd, Suite 245, Great Neck, NY 11021-5337 | 2012-09-06 |
| 1407146178 | Heidi Talansky | Physician Assistant | 900 Northern Blvd, Great Neck, NY 11021-5302 | 2011-04-14 |
| 1427373216 | Nicholas Alexander La Gamma | Surgery | 900 Northern Blvd, Suite 100, Great Neck, NY 11021-5337 | 2010-04-05 |
| 1770814378 | Maryam Broukhim Md PC | Surgery | 900 Northern Blvd, Great Neck, NY 11021 | 2010-01-21 |
| 1710112644 | Cristina Pichardo | Physician Assistant | 900 Northern Blvd, Great Neck, NY 11021-5337 | 2009-05-21 |
| 1679732531 | Aaa Vascular Care Pllc | Surgery | 900 Northern Blvd, Suite 140, Great Neck, NY 11021-5302 | 2008-06-05 |
| 1588822159 | Andrew Jacono Center | Clinic/Center | 900 Northern Blvd, Great Neck, NY 11021-5302 | 2008-05-29 |
| 1689844755 | Alex Keller, Md, Facs, PC | Specialist | 900 Northern Blvd, Great Neck, NY 11021-5302 | 2008-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097927 | Vital Balance Osteopathy, Pllc | Psychiatry & Neurology | 10 Bond Street, Ste 1, #290, Great Neck, NY 11021 | 2020-09-14 |
| 1770131922 | Bond Orthodontics & Dental Care Pllc | Dentist | 12 Bond Street., Suite#c4, Great Neck, NY 11021 | 2019-08-30 |
| 1295393858 | Ctrip.nyc, Inc. | Emergency Response System Companies | 3 Grace Ave, Suite 106, Great Neck, NY 11021 | 2019-05-30 |
| 1366929267 | Vishva Vajra Acupuncture PC | Acupuncturist | 23a Middle Neck Road, Great Neck, NY 11021 | 2018-07-24 |
| 1518457530 | Assured Quality Home Care, Inc. | In Home Supportive Care | 885 Northern Blvd., Greak Neck, NY 11021 | 2018-05-15 |
| 1881183275 | Liat Mindy Brody | Occupational Therapist | 7 Hickory Dr, Great Neck, NY 11021 | 2018-05-01 |
| 1457853707 | Allison Squillace | Social Worker | 7 Bond Suite 1a, Great Neck, NY 11021 | 2018-03-02 |
| 1275042855 | Seolhee Kang | Acupuncturist | 26 Linden Street, Apt 4c, Great Neck, NY 11021 | 2017-09-26 |
| 1346781598 | Sara Dreiblatt | Speech-Language Pathologist | 211-45 46th Road, Queens, NY 11021 | 2017-03-20 |
| 1962853416 | Darron Yelling Do, PC | Surgery | 305 Northen Blvd, 105, Great Neck, NY 11021 | 2016-06-27 |
| Find all providers in zip 11021 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962902478 | Sung Hyon Han | Dentist | 11 Olive St, Great Neck, NY 11020 | 2018-02-20 |
| 1851822928 | Allure Smile Dentistry Pllc | Dentist | 16 Helen Ln, Great Neck, NY 11024-1827 | 2017-03-21 |
| 1790161677 | Arvin Elyasi | Dentist | 65 Warwick Rd, Great Neck, NY 11023-1667 | 2015-08-03 |
| 1558760934 | Alexander Linsky Dmd PC | Dentist | 900 Northern Blvd Ste 240, Great Neck, NY 11021-5302 | 2014-08-21 |
| 1386905164 | Arshia Golian | Dentist | 47 Stepping Stone Ln, Great Neck, NY 11024-1313 | 2012-06-07 |
| 1801168521 | Jack Kern | Dentist | 11 Crickett Ln, 11 Cricket Lane, Great Neck, NY 11024-1004 | 2012-01-27 |
| 1821382649 | Ruth Schmuelian | Dentist | 4 Cypress Ave, Great Neck, NY 11024-2004 | 2011-06-09 |
| 1972800894 | Jeffrey M Scherr | Dentist | 7 Bond Street, Suite #1d, Great Neck, NY 11021-2412 | 2011-02-14 |
| 1760610612 | Benjamin Daniel Feintuch | Dentist | 140 Cooper Dr, Great Neck, NY 11023-1900 | 2009-06-30 |
| 1366619876 | Julie Liberman | Dentist | 8 Bond St Ste 1, Great Neck, NY 11021-2424 | 2008-05-14 |
| Find all providers in GREAT NECK | ||||
| City | GREAT NECK |
| Zip Code | 11021 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.