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SAHNG GYOON KIM D.D.S., M.S.
NPI 1619201373
Dentist - Endodontics in New York, NY

Active since September 29, 2009PECOS Enrolled
100 HAVEN AVE, NEW YORK, NY 10032(212) 342-0107 Get Directions Write a Review

NPPES record last updated: October 11, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sahng Gyoon Kim D.d.s., M.s. NPPES

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

SAHNG GYOON KIM D.D.S., M.S. (NPI 1619201373) is an individual endodontics provider in New York, New York, licensed in New York (056438) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619201373
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameSAHNG GYOON KIMCredential: D.D.S., M.S.
Location Address100 HAVEN AVENew York, NY 10032-2645
Mailing Address630 W 168th St Ph 7stemNew York, NY 10032-3725 · (215) 971-5811
Phone(212) 342-0107
Sole ProprietorYes
Enumeration DateSeptember 29, 2009
Last NPPES UpdateOctober 11, 2012
✔ NPI 1619201373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Licenses✔ Licensed in NY · 056438✔ Licensed in NY · 000009
Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

100 HAVEN AVE, New York, NY 10032
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.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)

Sahng Gyoon Kim D.d.s., M.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 10032 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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 12

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

DR. MARGARITA PAPPAS D.D.S.
Dentist (General Practice)
100 HAVEN AVE, APT 30 E
NEW YORK, NY 10032
New York County (212) 927-2155
DR. ROSEANNA GRAHAM D.D.S.
Dentist (General Practice)
100 HAVEN AVE, LOBBY LEVEL
NEW YORK, NY 10032
New York County (212) 342-0107
DR. STEPHEN SHOU-CHING KAM M.D.
Student in an Organized Health Care Education/Training Program
100 HAVEN AVE, APT. 11D
NEW YORK, NY 10032
New York County (917) 601-0356
SCHONMEI WU
Student in an Organized Health Care Education/Training Program
100 HAVEN AVE, APARTMENT 23F
NEW YORK, NY 10032
New York County (713) 435-9214
STEPHANIE CHRISTINA JANKLY
Registered Nurse
100 HAVEN AVE, APT 16D
NEW YORK, NY 10032
New York County (626) 226-8733
SHANNON SULLIVAN DDS
Dentist
100 HAVEN AVE
NEW YORK, NY 10032
New York County (212) 342-0107
KELSEANNE BREDER
Nurse Practitioner (Psychiatric/Mental Health)
100 HAVEN AVE, 25D
NEW YORK, NY 10032
New York County (407) 697-6254
DR. EZZARD ROLLE JR. DDS
Dentist (General Practice)
100 HAVEN AVE
NEW YORK, NY 10032
New York County (212) 342-0107

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 Sahng Gyoon Kim's NPI number?

The NPI number for Sahng Gyoon Kim is 1619201373. It was assigned to this individual provider in the NPPES registry on September 29, 2009.

Where is Sahng Gyoon Kim located?

Sahng Gyoon Kim practices at 100 Haven Ave, New York, NY 10032. The listed phone number is (212) 342-0107.

What is Sahng Gyoon Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Sahng Gyoon Kim enrolled in Medicare?

Yes. Sahng Gyoon Kim is registered in the Medicare PECOS enrollment system.

What insurance does Sahng Gyoon Kim accept?

Health plans from Humana list Sahng Gyoon 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 Sahng Gyoon Kim was last updated on October 11, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.