1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Dentist
  6. NPI Profile

DR. JUNG-MIN KIM DDS
NPI 1174679740
Dentist in New York, NY

Active since January 26, 2007PECOS Enrolled
57 W 57TH ST STE 710, NEW YORK, NY 10019(212) 564-1888(212) 564-1161 Get Directions Write a Review

NPPES record last updated: May 15, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jung-min Kim Dds NPPES

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

DR. JUNG-MIN KIM DDS (NPI 1174679740) is an individual dentist in New York, New York, licensed in New York (051532) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174679740
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JUNG-MIN KIMCredential: DDS
Location Address57 W 57TH ST STE 710New York, NY 10019
Mailing Address100 Old Palisade Rd Apt 2705Fort Lee, NJ 07024-7022 · (646) 436-4709 · Fax (212) 564-1161
Phone(212) 564-1888
Fax(212) 564-1161
Sole ProprietorYes
Enumeration DateJanuary 26, 2007
Last NPPES UpdateMay 15, 2018
✔ NPI 1174679740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in NY · 051532✔ Licensed in NJ · 22DI02280100
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.
57 W 57TH ST STE 710, New York, NY 10019
Open in Google Maps ↗

Other Identifiers 1

Medicaid02594154NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.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. Jung-min Kim 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 10019 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

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.

57 CENTRAL DENTAL PROFESSIONAL CORPORATION
Dentist (General Practice)
57 W 57TH ST STE 710
NEW YORK, NY 10019
New York County (212) 564-1888
DR. JUNG-HUN KIM DDS
Dentist
57 W 57TH ST STE 710
NEW YORK, NY 10019
New York County (212) 564-1888

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 Jung-min Kim's NPI number?

The NPI number for Jung-min Kim is 1174679740. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Jung-min Kim located?

Jung-min Kim practices at 57 W 57th St Ste 710, New York, NY 10019. The listed phone number is (212) 564-1888.

What is Jung-min Kim's specialty?

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

Is Jung-min Kim enrolled in Medicare?

Yes. Jung-min Kim is registered in the Medicare PECOS enrollment system.

What insurance does Jung-min Kim accept?

Health plans from Humana list Jung-min 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 Jung-min Kim was last updated on May 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.