JACK JEUN CHEUNG TSE DMD NPI 1932268018

NPI Information

  • NPI: 1932268018
  • Provider Name: JACK JEUN CHEUNG TSE, DMD
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • Address: 430 ROBINSON AVE
    NEWBURGH, NY
    ZIP 12550
  • Phone: (845) 561-7255

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NPI Details

Jack Jeun Cheung Tse, DMD is an oral and maxillofacial surgery dentist in Newburgh, NY. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Jack Jeun Cheung Tse, DMD NPI is 1932268018. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

430 ROBINSON AVE
NEWBURGH, NY
ZIP 12550
Phone: (845) 561-7255
Fax: (845) 561-5522

The enumeration date for this NPI number is 12/6/2006 and was last updated on 12/21/2013.

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
11223S0112XDentistOral and Maxillofacial Surgery10869CONNECTICUTNo
21223S0112XDentistOral and Maxillofacial Surgery040109NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D37601MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
2D37601MEDICARE UPIN
300993288MEDICAIDNEW YORK
4008043473MEDICAIDCONNECTICUT

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

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