DR. KYUNGHEE NAM DDS
NPI 1134595796
Dentist in Jersey City, NJ

Active since August 18, 2015PECOS Enrolled
30 MALL DR W STE 71-A, JERSEY CITY, NJ 07310(201) 626-2500 Get Directions Write a Review

NPPES record last updated: August 18, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kyunghee Nam Dds NPPES

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

DR. KYUNGHEE NAM DDS (NPI 1134595796) is an individual dentist in Jersey City, New Jersey, licensed in New Jersey (22DI02614200) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134595796
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KYUNGHEE NAMCredential: DDS
Location Address30 MALL DR W STE 71-AJersey City, NJ 07310-1615
Mailing Address30 Mall Dr W Ste 71-aJersey City, NJ 07310-1615 · (201) 626-2500
Sole ProprietorNo
Enumeration DateAugust 18, 2015
NPI 1134595796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in NJ · 22DI02614200
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

30 MALL DR W STE 71-A, Jersey City, NJ 07310

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kyunghee Nam Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07310 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134595796, enumerated as an "individual" on August 18, 2015.

The provider is located at 30 MALL DR W STE 71-A JERSEY CITY, NJ 07310 and the phone number is (201) 626-2500.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.