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DR. CHANG MIN RICHARD YIM DMD
NPI 1417398405
Oral & Maxillofacial Surgery in Newark, NJ

Active since July 08, 2013PECOS EnrolledAccepts Medicare Assignment
110 BERGEN ST # B854, NEWARK, NJ 07103(973) 972-7462(973) 972-7322 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 12, 2023, Jun 15, 2020, Sep 16, 2019 (3 updates tracked since 2019).

About Dr. Chang Min Richard Yim Dmd NPPES

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

DR. CHANG MIN RICHARD YIM DMD (NPI 1417398405) is an individual oral & maxillofacial surgery provider in Newark, New Jersey, licensed in Maryland (16977) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with The University Hospital, and maintains a secondary practice location in Bethesda.

NPPES Registry Identity

NPI1417398405
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. CHANG MIN RICHARD YIMCredential: DMD
Location Address110 BERGEN ST # B854Newark, NJ 07103-2495
Mailing Address7001 Arlington RdBethesda, MD 20814-5405 · (215) 840-5782
Phone(973) 972-7462
Fax(973) 972-7322
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2013
Enumeration DateJuly 8, 2013
Last NPPES UpdateJune 12, 20233 updates tracked since enumeration
NPPES CertifiedJune 12, 2023
✔ NPI 1417398405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in MD · 16977
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
110 BERGEN ST # B854, Newark, NJ 07103
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Secondary Practice Location 1

Location 18901 Rockville PikeBethesda, MD 20889 · Phone (301) 295-4340

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, 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. Chang Min Richard Yim Dmd 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 ID8820325384
PECOS Enrollment IDI20230728001427
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The University Hospital

Acute Care Hospitals · Newark, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310119
Location150 Bergen StNewark, NJ 07103 · Essex County
Emergency services Birthing friendly

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 Chang Min Yim's NPI number?

The NPI number for Chang Min Yim is 1417398405. It was assigned to this individual provider in the NPPES registry on July 8, 2013.

Where is Chang Min Yim located?

Chang Min Yim practices at 110 Bergen St # B854, Newark, NJ 07103. The listed phone number is (973) 972-7462.

What is Chang Min Yim's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Chang Min Yim enrolled in Medicare?

Yes. Chang Min Yim 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 Chang Min Yim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Chang Min Yim 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.

Is Chang Min Yim affiliated with any hospitals?

According to CMS data, Chang Min Yim is affiliated with The University Hospital.

When was this NPI record last updated?

The NPPES record for Chang Min Yim was last updated on June 12, 2023. 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.