Jason D Kim
Dentist in Lyndhurst, New Jersey
1467913863- Practice location
- 542 New York Ave, Lyndhurst, NJ 07071-1532
- Phone
- 201-623-3355
- Fax
- —
- Last updated
- August 27, 2021
Jason Donghyun Kim is a Dentist based in Lyndhurst, NJ. Jason Donghyun Kim practices in Lyndhurst, NJ. The NPI Number for Jason Donghyun Kim is 1467913863 and holds a License No. 22DI02806400 (NJ). The current practice location address for Jason Donghyun Kim is 542 New York Ave, Lyndhurst, NJ 07071-1532 and can be reached out via phone at 201-623-3355.
Provider Profile Details
- NPI Number
- 1467913863
- Provider Name
- Jason Donghyun Kim
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 542 New York Ave, Lyndhurst, NJ 07071-1532
- Phone Number
- 201-623-3355
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Other Names
- Dong Hyun Kim (Former Name)
- Provider Enumeration Date
- March 28, 2019
- Last Update Date
- August 27, 2021
- Certification Date
- August 10, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 542 New York Ave
Lyndhurst, NJ 07071-1532 - City
- Lyndhurst
- State
- New Jersey
- Zip
- 07071-1532
- Phone Number
- 201-623-3355
Provider Business Mailing Address Details
- Address
- 901 Mountain Ave # Sc13
Springfield, NJ 07081-3414 - City
- Springfield
- State
- NJ
- Zip
- 07081-3414
- Phone Number
- 973-506-0159
License Information
- License Number (1)
- 22DI02806400
- License State (1)
- NJ
- Taxonomy (1)
- Dentist · 122300000X · Primary
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Lyndhurst, NJ
View all Dentists in Lyndhurst →Frequently Asked Questions
What is the NPI number of Jason D Kim?
The NPI number of Jason D Kim is 1467913863. It was assigned on March 28, 2019 and is currently active in the NPPES registry.
What is the specialty of Jason D Kim?
Jason D Kim is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI02806400.
Where does Jason D Kim practice?
The practice location is 542 New York Ave, Lyndhurst, NJ 07071-1532. The office can be reached at 201-623-3355 (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 1467913863 directly on the NPPES registry website.