Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Chang

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1588290746

Jessica Chang is a Student in an Organized Health Care Education/Training Program in Bronx, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020
Specialties on file
2

Practice location Address checks out

1400 Pelham Pkwy S
Bronx, NY 10461-1197
Phone: (718) 918-3419
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 062079-01 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1588290746
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 19, 2020
Last updated in NPPESJanuary 6, 2022
Certification dateJanuary 6, 2022

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