YU JEONG KIM
NPI 1457904583
Dentist - Pediatric Dentistry in Brooklyn, NY

Q: What is Yu Jeong Kim's NPI number?

The NPI number for Yu Jeong Kim is 1457904583. It was assigned to this individual provider in the NPPES registry on July 17, 2019.

Q: What is Yu Jeong Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Yu Jeong Kim was last updated on June 3, 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.

Active since July 17, 2019PECOS Enrolled

5800 3RD AVE, BROOKLYN, NY 11220(718) 630-8526 Get Directions Write a Review

NPPES record last updated: June 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2023, Jul 17, 2019 (2 updates tracked since 2019).

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About Yu Jeong Kim NPPES

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

YU JEONG KIM (NPI 1457904583) is an individual pediatric dentistry provider in Brooklyn, New York, licensed in New York (062320) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457904583

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameYU JEONG KIM

Location Address5800 3RD AVEBrooklyn, NY 11220-3702

Mailing Address5800 3rd AveBrooklyn, NY 11220-3702

Phone(718) 630-8526

Sole ProprietorNo

Enumeration DateJuly 17, 2019

Last NPPES UpdateJune 3, 20232 updates tracked since enumeration

NPPES CertifiedJune 3, 2023

✔ NPI 1457904583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in NY · 062320

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

5800 3RD AVE, Brooklyn, NY 11220

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yu Jeong Kim 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 11220 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.

DR. JASMINA AGALLIU DDS

Student in an Organized Health Care Education/Training Program