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SUNG RAE KIM
NPI 1679995955
Dentist - Prosthodontics in Closter, NJ

Active since January 06, 2014PECOS Enrolled
570 PIERMONT RD, SUITE C1, CLOSTER, NJ 07624(201) 666-2828(201) 750-2314 Get Directions Write a Review

NPPES record last updated: January 6, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Sung Rae Kim NPPES

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

SUNG RAE KIM (NPI 1679995955) is an individual prosthodontics provider in Closter, New Jersey, licensed in New Jersey (DI19751) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679995955
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameSUNG RAE KIM
Location Address570 PIERMONT RD, SUITE C1Closter, NJ 07624-3100
Mailing Address570 Piermont Road, Suite C1Closter, NJ 07624
Phone(201) 666-2828
Fax(201) 750-2314
Sole ProprietorYes
Enumeration DateJanuary 6, 2014
✔ NPI 1679995955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in NJ · DI19751
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Also ListedDentistTaxonomy 122300000X · License 22DI01975100 (NJ), 047461-1 (NY)
570 PIERMONT RD, Closter, NJ 07624
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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)

Sung Rae 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 07624 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

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

CLOSTER DENTAL PC
Dentist (Prosthodontics)
570 PIERMONT RD, #C1
CLOSTER, NJ 07624
Bergen County (201) 666-2828

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 Sung Rae Kim's NPI number?

The NPI number for Sung Rae Kim is 1679995955. It was assigned to this individual provider in the NPPES registry on January 6, 2014.

Where is Sung Rae Kim located?

Sung Rae Kim practices at 570 Piermont Rd Suite C1, Closter, NJ 07624. The listed phone number is (201) 666-2828.

What is Sung Rae Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Sung Rae Kim enrolled in Medicare?

Yes. Sung Rae Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sung Rae Kim was last updated on January 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.