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JASON DONGHYUN KIM
NPI 1467913863
Dentist in Lyndhurst, NJ

Active since March 28, 2019PECOS Enrolled
542 NEW YORK AVE, LYNDHURST, NJ 07071(201) 623-3355 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 27, 2021, Jul 21, 2020 (2 updates tracked since 2020).

About Jason Donghyun Kim NPPES

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

JASON DONGHYUN KIM (NPI 1467913863) is an individual dentist in Lyndhurst, New Jersey, licensed in New Jersey (22DI02806400) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1467913863
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJASON DONGHYUN KIM
Location Address542 NEW YORK AVELyndhurst, NJ 07071-1532
Mailing Address901 Mountain Ave # Sc13Springfield, NJ 07081-3414 · (973) 506-0159
Phone(201) 623-3355
Sole ProprietorYes
Enumeration DateMarch 28, 2019
Last NPPES UpdateAugust 27, 20212 updates tracked since enumeration
NPPES CertifiedAugust 10, 2021
✔ NPI 1467913863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NJ · 22DI02806400
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
542 NEW YORK AVE, Lyndhurst, NJ 07071
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Other Names 1

Former Name (1)Dong Hyun Kim

Secondary Practice Location 1

Location 1111 E 210th StBronx, NY 10467-2401 · Phone (718) 920-4321

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)

Jason Donghyun 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 07071 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.

Other Providers at the Same Location NPPES 3

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

MOUAD M GSEIR
Dentist (General Practice)
542 NEW YORK AVE
LYNDHURST, NJ 07071
Bergen County (201) 623-3355
NESMA YOUSSEF
Dentist
542 NEW YORK AVE
LYNDHURST, NJ 07071
Bergen County (201) 623-3355
MICHAEL THINH TRAN
Dentist
542 NEW YORK AVE
LYNDHURST, NJ 07071
Bergen County (201) 623-3355

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 Jason Kim's NPI number?

The NPI number for Jason Kim is 1467913863. It was assigned to this individual provider in the NPPES registry on March 28, 2019. The provider is also known as Dong Hyun Kim.

Where is Jason Kim located?

Jason Kim practices at 542 New York Ave, Lyndhurst, NJ 07071. The listed phone number is (201) 623-3355.

What is Jason Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jason Kim enrolled in Medicare?

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

What insurance does Jason 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, Florida Combined Life and HRI Dental & Vision and 3 other insurers list Jason 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 Jason Kim was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.