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DR. JONATHAN D. PONG DMD
NPI 1235368978
Dentist - Oral and Maxillofacial Surgery in New York, NY

Active since July 02, 2009
3915 BROADWAY, NEW YORK, NY 10032(212) 567-5536(212) 202-6447 Get Directions Write a Review

NPPES record last updated: December 17, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jonathan D. Pong Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JONATHAN D. PONG DMD (NPI 1235368978) is an individual oral and maxillofacial surgery provider in New York, New York, licensed in New York (056400-1) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1235368978
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JONATHAN D. PONGCredential: DMD
Location Address3915 BROADWAYNew York, NY 10032-1565
Mailing Address3915 BroadwayNew York, NY 10032-1565 · (212) 567-5536 · Fax (212) 202-6447
Phone(212) 567-5536
Fax(212) 202-6447
Sole ProprietorNo
Enumeration DateJuly 2, 2009
Last NPPES UpdateDecember 17, 2013
✔ NPI 1235368978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in NY · 056400-1✔ Licensed in NY · P51889
Definition
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.
3915 BROADWAY, New York, NY 10032
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN N HOFMANN DDS
Dentist (General Practice)
3915 BROADWAY
NEW YORK, NY 10032
New York County (347) 590-9910
DR. MCKINLEY L PRICE II DDS
Dentist (Oral and Maxillofacial Surgery)
3915 BROADWAY
NEW YORK, NY 10032
New York County (212) 567-5536
DR. BRADLEY ADAM HIRSCH DMD
Dentist (Oral and Maxillofacial Surgery)
3915 BROADWAY
NEW YORK, NY 10032
New York County (212) 567-5536
DR. KENNETH WIEDER D.D.S.
Dentist (Oral and Maxillofacial Surgery)
3915 BROADWAY
NEW YORK, NY 10032
New York County (212) 567-5536
MIMI JOONYOUNG LEE DDS, MD
Dentist (Oral and Maxillofacial Surgery)
3915 BROADWAY
NEW YORK, NY 10032
New York County (212) 567-5536
DR. JESAL VIRENDRA SHAH D.M.D., MD
Dentist (Oral and Maxillofacial Surgery)
3915 BROADWAY
NEW YORK, NY 10032
New York County (212) 567-5536
DR. JANET C BODEY D.D.S.
Dentist (Oral and Maxillofacial Surgery)
3915 BROADWAY
NEW YORK, NY 10032
New York County (212) 567-5536
DR. MOHAMMAD W RABAH D.M.D
Dentist (Oral and Maxillofacial Surgery)
3915 BROADWAY
NEW YORK, NY 10032
New York County (212) 567-5536

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Pong's NPI number?

The NPI number for Jonathan Pong is 1235368978. It was assigned to this individual provider in the NPPES registry on July 2, 2009.

Where is Jonathan Pong located?

Jonathan Pong practices at 3915 Broadway, New York, NY 10032. The listed phone number is (212) 567-5536.

What is Jonathan Pong's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Jonathan Pong was last updated on December 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.