Active NPIIndividual provider

Samantha Kim

Dentist, Orthodontics and Dentofacial Orthopedics in Kearny, New Jersey

NPI Number1497643969
Practice location
242 Kearny Ave Ste 2, Kearny, NJ 07032-2505
Fax
—
Last updated
June 25, 2025

Samantha Kim is a Dentist, Orthodontics and Dentofacial Orthopedics based in Kearny, NJ. Samantha Kim practices in Kearny, NJ. The NPI Number for Samantha Kim is 1497643969 and holds a License No. 22DI03102900 (NJ). The current practice location address for Samantha Kim is 242 Kearny Ave Ste 2, Kearny, NJ 07032-2505 and can be reached out via phone at 201-955-2500.

Provider Profile Details

NPI Number
1497643969
Provider Name
Samantha Kim
Provider Entity Type
Individual
Gender
Female
Address
242 Kearny Ave Ste 2, Kearny, NJ 07032-2505
Phone Number
201-955-2500
Sole Proprietor
No
Provider Enumeration Date
June 25, 2025
Last Update Date
June 25, 2025
Certification Date
June 25, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
242 Kearny Ave Ste 2
Kearny, NJ 07032-2505
City
Kearny
Zip
07032-2505
Phone Number
201-955-2500
Kearny, NJ 07032Get directions →

Provider Business Mailing Address Details

Address
450 Oldwoods RD
Wyckoff, NJ 07481-1448
City
Wyckoff
State
NJ
Zip
07481-1448

License Information

License Number
22DI03102900
License State
NJ
Taxonomy
Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · 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 Samantha Kim?

The NPI number of Samantha Kim is 1497643969. It was assigned on June 25, 2025 and is currently active in the NPPES registry.

What is the specialty of Samantha Kim?

Samantha Kim is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in NJ under license number 22DI03102900.

Where does Samantha Kim practice?

The practice location is 242 Kearny Ave Ste 2, Kearny, NJ 07032-2505. The office can be reached at 201-955-2500 (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 1497643969 directly on the NPPES registry website.

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