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DR. PETER J. KIM DDS
NPI 1417353400
Dentist - General Practice in New Square, NY

Active since November 18, 2014PECOS Enrolled
728 N MAIN ST, NEW SQUARE, NY 10977(845) 354-9300 Get Directions Write a Review

NPPES record last updated: February 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Peter J. Kim Dds NPPES

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

DR. PETER J. KIM DDS (NPI 1417353400) is an individual general practice provider in New Square, New York, licensed in New York (058142) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417353400
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PETER J. KIMCredential: DDS
Location Address728 N MAIN STNew Square, NY 10977-8916
Mailing Address7 Stuart CtHuntington Station, NY 11746-4237 · (631) 355-4180
Phone(845) 354-9300
Sole ProprietorYes
Enumeration DateNovember 18, 2014
Last NPPES UpdateFebruary 21, 2018
✔ NPI 1417353400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 058142
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
728 N MAIN ST, New Square, NY 10977
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Peter J. 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 10977 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 20

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

YONATAN ELSTEIN MD
Pediatrics
728 N MAIN ST
NEW SQUARE, NY 10977
Rockland County (845) 354-9300
REFUAH HEALTH CENTER, INC.
Internal Medicine (Medical Oncology)
728 N MAIN ST
NEW SQUARE, NY 10977
Rockland County (845) 354-9300
DR. RONEN HIZAMI M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
728 N MAIN ST, REFUAH HEALTH CENTER
SPRING VALLEY, NY 10977
Rockland County (845) 354-9300
DR. TERRY SOBLER ORTHODONTIST
Dentist (Orthodontics and Dentofacial Orthopedics)
728 N MAIN ST, REFUAH HEALTH CENTER
SPRING VALLEY, NY 10977
Rockland County (845) 354-9300
ARIEL Z FELSEN DDS
Dentist
728 N MAIN ST
NEW SQUARE, NY 10977
Rockland County (845) 354-9300
JESSICA RAE PLOTNIKOV MD
Psychiatry & Neurology (Psychiatry)
728 N MAIN ST
NEW SQUARE, NY 10977
Rockland County (845) 345-9300
DR. NAVID VOSOUGHI D.M.D
Dentist (Endodontics)
728 N MAIN ST
NEW SQUARE, NY 10977
Rockland County (845) 354-9300
JENNIFER GRUNHUT
Physician Assistant
728 N MAIN ST
NEW SQUARE, NY 10977
Rockland County (845) 354-9300

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 Peter Kim's NPI number?

The NPI number for Peter Kim is 1417353400. It was assigned to this individual provider in the NPPES registry on November 18, 2014.

Where is Peter Kim located?

Peter Kim practices at 728 N Main St, New Square, NY 10977. The listed phone number is (845) 354-9300.

What is Peter Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Peter Kim enrolled in Medicare?

Yes. Peter Kim is registered in the Medicare PECOS enrollment system.

What insurance does Peter Kim accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental PPO and 7 other insurers list Peter 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 Peter Kim was last updated on February 21, 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.