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YEO JIN KIM
NPI 1801242425
Dentist - General Practice in New York, NY

Active since May 12, 2016PECOS Enrolled
11 STUYVESANT OVAL APT 1H, NEW YORK, NY 10009(814) 308-3062 Get Directions Write a Review

NPPES record last updated: March 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2020, May 12, 2016 (2 updates tracked since 2016).

About Yeo Jin Kim NPPES

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

YEO JIN KIM (NPI 1801242425) is an individual general practice provider in New York, New York, licensed in New York (059144) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801242425
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameYEO JIN KIM
Location Address11 STUYVESANT OVAL APT 1HNew York, NY 10009-2047
Mailing Address11 Stuyvesant Oval Apt 1hNew York, NY 10009-2047 · (814) 308-3062
Phone(814) 308-3062
Sole ProprietorNo
Enumeration DateMay 12, 2016
Last NPPES UpdateMarch 2, 20202 updates tracked since enumeration
NPPES CertifiedMarch 2, 2020
✔ NPI 1801242425 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 NY · 059144
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11 STUYVESANT OVAL APT 1H, New York, NY 10009
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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)

Yeo Jin 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 10009 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.

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 Yeo Jin Kim's NPI number?

The NPI number for Yeo Jin Kim is 1801242425. It was assigned to this individual provider in the NPPES registry on May 12, 2016.

Where is Yeo Jin Kim located?

Yeo Jin Kim practices at 11 Stuyvesant Oval Apt 1H, New York, NY 10009. The listed phone number is (814) 308-3062.

What is Yeo Jin Kim's specialty?

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

Is Yeo Jin Kim enrolled in Medicare?

Yes. Yeo Jin Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Yeo Jin Kim was last updated on March 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.