Active NPIIndividual providerSole proprietor

Dr. Melanie Y Kim, DMD

Dentist, Endodontics in Edgewater, New Jersey

NPI Number1114135076
Practice location
968 River RD Ste 100, Edgewater, NJ 07020-2237
Fax
—
Last updated
December 1, 2016

Melanie Yonmi Kim is a Dentist, Endodontics based in Edgewater, NJ. Melanie Yonmi Kim practices in Edgewater, NJ and has the professional credentials of DMD. The NPI Number for Melanie Yonmi Kim is 1114135076 and holds a License No. 049248 (NY). The current practice location address for Melanie Yonmi Kim is 968 River RD Ste 100, Edgewater, NJ 07020-2237 and can be reached out via phone at 201-699-0565.

Provider Profile Details

NPI Number
1114135076
Provider Name
Melanie Yonmi Kim
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
968 River RD Ste 100, Edgewater, NJ 07020-2237
Phone Number
201-699-0565
Primary Taxonomy
Dentist, Endodontics · 1223E0200X
Sole Proprietor
Yes
Provider Enumeration Date
May 21, 2007
Last Update Date
December 1, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
968 River RD Ste 100
Edgewater, NJ 07020-2237
Zip
07020-2237
Phone Number
201-699-0565
Edgewater, NJ 07020Get directions →

Provider Business Mailing Address Details

Address
968 River RD Ste 100
Edgewater, NJ 07020-2237
City
Edgewater
State
NJ
Zip
07020-2237
Phone Number
201-699-0565

License Information

License Number (1)
049248
License State (1)
NY
Taxonomy (1)
Dentist, Endodontics · 1223E0200X
License Number (2)
22DI02168500
License State (2)
NJ
Taxonomy (2)
Dentist, Endodontics · 1223E0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Melanie Y Kim, DMD?

The NPI number of Dr. Melanie Y Kim, DMD is 1114135076. It was assigned on May 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Melanie Y Kim, DMD?

Dr. Melanie Y Kim, DMD is registered under the primary taxonomy Dentist, Endodontics (code 1223E0200X), licensed in NY under license number 049248.

Where does Dr. Melanie Y Kim, DMD practice?

The practice location is 968 River RD Ste 100, Edgewater, NJ 07020-2237. The office can be reached at 201-699-0565 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114135076 directly on the NPPES registry website.

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