Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760949671 Individual Practitioner Male Practitioner

Jae An

Dentist - General Practice • Elizabeth, NJ

Professional Overview & Biography Verified Profile Summary

Jae An is a registered healthcare professional specializing in Dentist - General Practice in Elizabeth, NJ. Practice services are available at 65 JEFFERSON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

65 Jefferson Ave

Elizabeth, NJ 072012474

Telephone 9084699100
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Elizabeth, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
43 Specialists

Practicing in Elizabeth, NJ (4316 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-02
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NJ 22DI02811400

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Dr. Jinyoung Jung-Kim , DDS

Dentist - Prosthodontics

NPI 1447998547

Doctor of Dental Surgery

Yao Gao

Dentist - General Practice

NPI 1457272957
NPI 1750024717

Doctor of Dental Surgery

NPI 1801662416
NPI 1811263171

Doctor of Dental Medicine

Dr. Yoomi Heo , DDS

Dentist - Pediatric Dentistry

NPI 1811378201

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 02, 2025

Registered at 65 JEFFERSON AVE, ELIZABETH, NJ 072012474 (Tel: 9084699100)

📍
Updated Business Mailing Address June 02, 2025

Registered at 65 JEFFERSON AVE, ELIZABETH, NJ 072012474 (Tel: 9084699100)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2025

Dentist (License #22DI02811400 in NJ)

NPI Profile Active February 27, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location February 27, 2019

Registered at 111 E 210TH ST, BRONX, NY 104672401 (Tel: 7189042000)

📍
Updated Business Mailing Address February 27, 2019

Registered at 111 E 210TH ST, BRONX, NY 104672401

👤
Provider Name / Credentials Updated February 27, 2019

Recorded as JAE AN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 27, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760949671
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2019
Last Update: June 02, 2025
Sole Proprietor: No

Mailing Address

65 Jefferson Ave

Elizabeth, NJ 072012474

Phone: 9084699100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.