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DR. JAY D KIM DMD, MD
NPI 1891920575
Oral & Maxillofacial Surgery in New York, NY

Active since May 25, 2009PECOS Enrolled
119 W 57TH ST STE 914, NEW YORK, NY 10019(212) 746-5175 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2020, Oct 9, 2020 (2 updates tracked since 2020).

About Dr. Jay D Kim Dmd, Md NPPES

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

DR. JAY D KIM DMD, MD (NPI 1891920575) is an individual oral & maxillofacial surgery provider in New York, New York, licensed in New York (058413) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Js Weill Medical College, Cornell University (2013).

NPPES Registry Identity

NPI1891920575
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. JAY D KIMCredential: DMD, MD
Location Address119 W 57TH ST STE 914New York, NY 10019-2401
Mailing Address119 W 57th St Ste 914New York, NY 10019-2401 · (212) 746-5175
Phone(212) 746-5175
Sole ProprietorNo
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 2013
Enumeration DateMay 25, 2009
Last NPPES UpdateOctober 12, 20202 updates tracked since enumeration
NPPES CertifiedOctober 12, 2020
✔ NPI 1891920575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses✔ Licensed in NY · 058413✔ Licensed in NY · P69669 LIMITEDPERMIT
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
119 W 57TH ST STE 914, New York, NY 10019
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Secondary Practice Location 1

Location 1525 E 68th St, F-2132, Dept of Oral & Maxillofacial SurgeryNew York, NY 10065-4870 · Phone (212) 746-5175

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.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)

Dr. Jay D Kim Dmd, Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931678216
PECOS Enrollment IDI20260515001522
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.

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 Jay Kim's NPI number?

The NPI number for Jay Kim is 1891920575. It was assigned to this individual provider in the NPPES registry on May 25, 2009.

Where is Jay Kim located?

Jay Kim practices at 119 W 57th St Ste 914, New York, NY 10019. The listed phone number is (212) 746-5175.

What is Jay Kim's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Jay Kim enrolled in Medicare?

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

What insurance does Jay Kim accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jay 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 Jay Kim was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.