GRACE JIAE KIM
NPI 1093207235
Dentist - Orthodontics and Dentofacial Orthopedics in Fort Lee, NJ
About Grace Jiae Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE JIAE KIM (NPI 1093207235) is an individual orthodontics and dentofacial orthopedics provider in Fort Lee, New Jersey, licensed in New Jersey (22DI02719500) and active in the NPI registry since June 2018. She has opted out of Medicare through August 1, 2026 and remains eligible to order and refer and maintains a secondary practice location in New York.
NPPES Registry Identity
Specialties & Licenses
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Grace Jiae Kim has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 1, 2022 through August 1, 2026.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT LEE, NJ 07024
FORT LEE, NJ 07024
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 Grace Kim's NPI number?
The NPI number for Grace Kim is 1093207235. It was assigned to this individual provider in the NPPES registry on June 4, 2018.
Where is Grace Kim located?
Grace Kim practices at 1315 Anderson Ave, Fort Lee, NJ 07024. The listed phone number is (201) 886-8400.
What is Grace Kim's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.
Is Grace Kim enrolled in Medicare?
No. Grace Kim has opted out of Medicare through August 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Grace Kim accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and HRI Dental & Vision and 3 other insurers list Grace Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Grace Kim was last updated on November 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.
