DR. DAVID JIN D.D.S.
NPI 1255334165
Dentist in Fort Lee, NJ

Q: What is David Jin's NPI number?

The NPI number for David Jin is 1255334165. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Q: What is David Jin'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 David Jin was last updated on October 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 24, 2005PECOS EnrolledAccepts Medicare Assignment

1315 ANDERSON AVE STE A, FORT LEE, NJ 07024(201) 224-4400(201) 224-4418 Get Directions Write a Review

NPPES record last updated: October 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 23, 2022, Jan 7, 2021 (2 updates tracked since 2021).

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About Dr. David Jin D.d.s. NPPES

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

DR. DAVID JIN D.D.S. (NPI 1255334165) is an individual dentist in Fort Lee, New Jersey, licensed in New Jersey (22DI02183600) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of New York University College Of Dentistry (1997).

NPPES Registry Identity

NPI1255334165

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. DAVID JINCredential: D.D.S.

Location Address1315 ANDERSON AVE STE AFort Lee, NJ 07024-1732

Mailing Address1315 Anderson Ave Ste AFort Lee, NJ 07024-1732 · (201) 224-4400 · Fax (201) 224-4418

Phone(201) 224-4400

Fax(201) 224-4418

Sole ProprietorYes

Medical School CMSNew York University College Of DentistryGraduated 1997

Enumeration DateMay 24, 2005

Last NPPES UpdateOctober 23, 20222 updates tracked since enumeration

NPPES CertifiedOctober 23, 2022

✔ NPI 1255334165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in NJ · 22DI02183600✔ Licensed in NY · 047558-1

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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 22DI02183600 (NJ)

1315 ANDERSON AVE STE A, Fort Lee, NJ 07024

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Secondary Practice Location 1

Location 11864 Centre St Ste 2Boston, MA 02132-1919 · Phone (617) 390-5371

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana 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 and accepts Medicare assignment

Dr. David Jin D.d.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517261399

PECOS Enrollment IDI20231207003282

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 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.

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.

Other Providers at the Same Location NPPES 3

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

HAYEON KOO

Dentist (General Practice)

1315 ANDERSON AVE STE A
FORT LEE, NJ 07024

Bergen County (013) 059-8082

AT HOME SLEEP SOLUTIONS BY ABS

Clinic/Center (Multi-Specialty)

1315 ANDERSON AVE STE A
FORT LEE, NJ 07024

Bergen County (201) 224-4400

SNORE NO MORE BY ABS LLC

Clinic/Center (Multi-Specialty)

1315 ANDERSON AVE STE A
FORT LEE, NJ 07024

Bergen County (201) 224-4400

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 David Jin's NPI number?

The NPI number for David Jin is 1255334165. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is David Jin located?

David Jin practices at 1315 Anderson Ave Ste A, Fort Lee, NJ 07024. The listed phone number is (201) 224-4400.

What is David Jin's specialty?

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

Is David Jin enrolled in Medicare?

Yes. David Jin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does David Jin accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list David Jin 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 David Jin was last updated on October 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.