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

Q: What is Kyunghee Nam's NPI number?

The NPI number for Kyunghee Nam is 1134595796. It was assigned to this individual provider in the NPPES registry on August 18, 2015.

Q: What is Kyunghee Nam's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Kyunghee Nam was last updated on August 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

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: August 09, 2026.

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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

Phone(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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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 NPPES & CMS

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

What is Kyunghee Nam's NPI number?

The NPI number for Kyunghee Nam is 1134595796. It was assigned to this individual provider in the NPPES registry on August 18, 2015.

Where is Kyunghee Nam located?

Kyunghee Nam practices at 30 Mall Dr W Ste 71-A, Jersey City, NJ 07310. The listed phone number is (201) 626-2500.

What is Kyunghee Nam's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kyunghee Nam enrolled in Medicare?

Yes. Kyunghee Nam is registered in the Medicare PECOS enrollment system.

What insurance does Kyunghee Nam 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 and Humana list Kyunghee Nam 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 Kyunghee Nam was last updated on August 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.