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DR. DONG WOONG KIM D.D.S
NPI 1457635112
Dentist - General Practice in Fort Lee, NJ

Active since September 29, 2011PECOS Enrolled
2015 CENTER AVE, FORT LEE, NJ 07024(201) 592-1046 Get Directions Write a Review

NPPES record last updated: March 28, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Dong Woong Kim D.d.s NPPES

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

DR. DONG WOONG KIM D.D.S (NPI 1457635112) is an individual general practice provider in Fort Lee, New Jersey, licensed in New Jersey (22DI02482600) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457635112
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DONG WOONG KIMCredential: D.D.S
Location Address2015 CENTER AVEFort Lee, NJ 07024-4707
Mailing Address2015 Center AveFort Lee, NJ 07024-4707 · (201) 592-1046
Phone(201) 592-1046
Sole ProprietorYes
Enumeration DateSeptember 29, 2011
Last NPPES UpdateMarch 28, 2016
✔ NPI 1457635112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NJ · 22DI02482600
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.
Also ListedDentistTaxonomy 122300000X · License 010719 (CT)
2015 CENTER AVE, Fort Lee, NJ 07024
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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. Dong Woong Kim D.d.s 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 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.

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 Dong Woong Kim's NPI number?

The NPI number for Dong Woong Kim is 1457635112. It was assigned to this individual provider in the NPPES registry on September 29, 2011.

Where is Dong Woong Kim located?

Dong Woong Kim practices at 2015 Center Ave, Fort Lee, NJ 07024. The listed phone number is (201) 592-1046.

What is Dong Woong Kim's specialty?

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

Is Dong Woong Kim enrolled in Medicare?

Yes. Dong Woong Kim is registered in the Medicare PECOS enrollment system.

What insurance does Dong Woong Kim accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Dong Woong 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 Dong Woong Kim was last updated on March 28, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.