NPI Information

  • NPI: 1780117325
  • Provider Name: VIVIEN WAI TUNG KU, DDS
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 201 LYONS AVE, NEWARK BETH ISRAEL MEDICAL CENTER
    DEPARTMENT OF DENTISTRY
    NEWARK, NJ
    ZIP 07112
  • Phone: (973) 926-7642

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NPI Details

Vivien Wai Tung Ku, DDS is a student in an organized health care education training program in Newark, NJ. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Vivien Wai Tung Ku, DDS NPI is 1780117325. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

201 LYONS AVE, NEWARK BETH ISRAEL MEDICAL CENTER
DEPARTMENT OF DENTISTRY
NEWARK, NJ
ZIP 07112
Phone: (973) 926-7642
Fax: (973) 926-5306

The enumeration date for this NPI number is 4/11/2017 and was last updated on 6/30/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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