SAMUEL EUNGOOK KIM
NPI 1437783107
Dentist - Oral and Maxillofacial Surgery in Glen Rock, NJ

Active since March 02, 2020
385 S MAPLE AVE STE 207, GLEN ROCK, NJ 07452(201) 380-2236 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2024, Jul 24, 2024, Jun 24, 2024 and 1 more (4 updates tracked since 2020).

About Samuel Eungook Kim NPPES

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

SAMUEL EUNGOOK KIM (NPI 1437783107) is an individual oral and maxillofacial surgery provider in Glen Rock, New Jersey, licensed in New Jersey (22DI03027100) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1437783107
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameSAMUEL EUNGOOK KIM
Location Address385 S MAPLE AVE STE 207Glen Rock, NJ 07452-1545
Mailing Address7 Linwood Rd NPort Washington, NY 11050-1411 · (516) 497-8068
Sole ProprietorYes
Enumeration DateMarch 2, 2020
Last NPPES UpdateAugust 8, 20244 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
NPI 1437783107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in NJ · 22DI03027100 Licensed in CT · 14093
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
385 S MAPLE AVE STE 207, Glen Rock, NJ 07452

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (Oral and Maxillofacial Surgery)
385 S MAPLE AVE STE 207
GLEN ROCK, NJ 07452

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 Samuel Kim's NPI number?

The NPI number for Samuel Kim is 1437783107. It was assigned to this individual provider in the NPPES registry on March 2, 2020.

Where is Samuel Kim located?

Samuel Kim practices at 385 S Maple Ave Ste 207, Glen Rock, NJ 07452. The listed phone number is (201) 380-2236.

What is Samuel Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Samuel Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Samuel 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 Samuel Kim was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.