DR. JONATHAN J KIM (NPI# 1104036797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104036797 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN J KIM |
| Credential | D.D.S. |
| Practice Address |
2 Summit Ct Suite 206 Fishkill NY 12524-1348 |
| Mailing Address |
23 Greenwich Ave Central Valley NY 10917-3717 |
| Practice Telephone | 8458969192 |
| Mailing Telephone | 8458276470 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 48088 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679120091 | Jonathan Kim | Dentist | 7910 W Tropical Pkwy Ste 140, Las Vegas, NV 89149-4555 | 2019-08-20 |
| 1083084404 | Jonathan Kim | Dentist | 27289 Willow Leaf Rd, Moreno Valley, CA 92555-4755 | 2015-09-28 |
| 1497070734 | Jonathan Jaeyoung Kim | Chiropractor | 7 Broad Ave Ste 309, Palisades Park, NJ 07650-1886 | 2010-03-30 |
| 1457527418 | Jonathan H Kim | Dentist | 1725 Berryessa Rd, Suite B, San Jose, CA 95133-1173 | 2008-04-30 |
| 1073698650 | Jonathan Kim | Optometrist | 11903-i Lee Jackson Memorial Hwy. #g133, Fairfax, VA 22033 | 2006-10-25 |
| 1669418893 | Jonathan Yonghwan Kim | Chiropractor | 11766 Firestone Blvd, Norwalk, CA 90650-2898 | 2006-06-22 |
| 1013568294 | Jonathan Juyun Kim | Dentist | 4925 Sw Griffith Dr, Beaverton, OR 97005-2923 | 2019-09-27 |
| 1801390109 | Jonathan Kim | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz, Los Angeles, CA 90095-8358 | 2018-03-21 |
| 1033643887 | Jonathan Kim | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | 2017-04-19 |
| 1093263444 | Jonathan Kim | Pharmacist | 3553 Whipple Rd, Union City, CA 94587-1507 | 2016-09-14 |
| Street Address |
2 SUMMIT CT SUITE 206 |
| City | FISHKILL |
| State | NY |
| Zip Code | 12524-1348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356339907 | Alex Gindes | Psychologist | 2 Summit Ct, Suite 204, Fishkill, NY 12524-1348 | 2005-10-07 |
| 1275964454 | Kristen Horan-lindstrom | Psychologist | 2 Summit Ct, Suite 204, Fishkill, NY 12524-1348 | 2013-12-12 |
| 1841344769 | Matthew Lloyd Warner | Psychologist | 2 Summit Ct, Suite 204, Fishkill, NY 12524-1348 | 2007-01-22 |
| 1326055161 | Leah Gindes | Social Worker | 2 Summit Ct, Suite 204, Fishkill, NY 12524-1348 | 2006-08-02 |
| 1164450268 | Jane Cassetta | Occupational Therapist | 2 Summit Ct, Suite 102, Fishkill, NY 12524-1348 | 2006-06-28 |
| 1467498303 | Hudson Valley Adl Center Inc | Occupational Therapist | 2 Summit Ct, Suite 102, Fishkill, NY 12524-1348 | 2006-06-21 |
| 1669453528 | Leland De Evoli | Psychiatry & Neurology | 2 Summit Ct, Suite 202, Fishkill, NY 12524-1348 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306392659 | Leandra Carr | Licensed Practical Nurse | 3 Mountain View Knolls Drive, Fishkill, NY 12524 | 2016-08-28 |
| 1558738427 | Teresa Williams | Speech-Language Pathologist | 51 Shirley Ave, Fishkill, NY 12524 | 2015-08-27 |
| 1689088742 | Cardiovascular and Medical Associate of The Hudson Valley PC | Internal Medicine | 841 Route 52 Suite 6, Fishkill, NY 12524 | 2014-06-17 |
| 1366876377 | Bohdan Darnobid | Physician Assistant | 121 Red School House Road, Fishkill, NY 12524 | 2013-08-27 |
| 1396007530 | Rebecca Gowans Roper-eckstein | Psychologist | 24 Old Glenham Road, Fishkill, NY 12524 | 2012-06-13 |
| 1083989859 | Nicos Nicolaou | Pathology | 400 Westage Business Ctr Dr Ste 209, Fishkill, NY 12524 | 2012-03-13 |
| 1760776256 | Janice Jacqueline Thomas-green | Registered Nurse | 62 Hoose Blvd, Fishkill, NY 12524 | 2011-06-02 |
| 1548494776 | Jacquelyn A Lindsay | Social Worker | 1575 Route 376 At New Hackensack Road, Wappingers Falls, NY 12524 | 2009-05-01 |
| 1154512838 | Joan J Miles | Registered Nurse | 74 Highland Ct, Fishkill, NY 12524 | 2007-08-07 |
| 1902097884 | Optical Fashions Corp | Technician/Technologist | 200 Westage Business Center Drive, Fishkill, NY 12524 | 2007-08-06 |
| Find all providers in zip 12524 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033252382 | Peter Allen Koch | Dentist | 1065 Main Street, Suite C, Fishkill, NY 12524 | 2007-02-15 |
| 1447309679 | Sherali Khurshid | Dentist | 738 Route 9 Ste 22, Fishkill, NY 12524-3801 | 2007-01-09 |
| 1083618011 | Louis Patrick Degiacomo | Dentist | 1499 Route 52, Ste 25, Fishkill, NY 12524-1625 | 2005-06-08 |
| 1629070735 | Mark L Mason | Dentist | 5 Riverview Dr, Fishkill, NY 12524-1422 | 2005-06-01 |
| 1013910025 | Julie Lauren Abrahamson | Dentist | 1505 Route 52 Ste 10, Fishkill, NY 12524-1630 | 2005-05-23 |
| 1194246579 | Seth Dubin | Dentist | 738 Route 9 Ste 22, Fishkill, NY 12524 | 2017-07-06 |
| 1831571546 | Jin Hyun Chung | Dentist | 738 Route 9 Ste 22, Fishkill, NY 12524-3801 | 2015-06-18 |
| 1831281930 | Harold B Ginsberg | Dentist | 841 Route 52, Fishkill, NY 12524 | 2006-09-28 |
| 1760492615 | Harold B Ginsberg Dds PC | Dentist | 841 Route 52, Fishkill, NY 12524 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790088 | Pamela A Michelotti | Dentist | 1003 Richmond Ave Ste A, Staten Island, NY 10314-1584 | 2020-11-04 |
| 1336749530 | Suffolk Dental Care, PC | Dentist | 3650 Route 112 Ste 105, Coram, NY 11727-4131 | 2020-10-27 |
| 1457959207 | The Dental Equation, Pllc | Dentist | 626 E Boston Post Rd, Mamaroneck, NY 10543 | 2020-10-14 |
| 1255938551 | Steven Kauftheil Dds Pllc | Dentist | 630 5th Ave Ste 1815, New York, NY 10111-1872 | 2020-10-08 |
| 1316553613 | Hihland Falls Dental Associate | Dentist | 70 Villa Pkwy, Highland Falls, NY 10928-1615 | 2020-09-22 |
| 1679188130 | Glen Cove Dental P.C. | Dentist | 44 Elm St Ste 1, Huntington, NY 11743-3403 | 2020-09-11 |
| 1255945945 | Derek Lin | Dentist | 10750 Queens Blvd Ste 2, Forest Hills, NY 11375-4266 | 2020-09-01 |
| 1104436690 | Maryam Ghorbani | Dentist | 40 Waterside Plz Apt 12b, New York, NY 10010-2636 | 2020-08-09 |
| 1700495272 | Casey Depauw | Dentist | 1066 Abbott Rd # 1, Buffalo, NY 14220-2756 | 2020-07-30 |
| 1194334607 | Asnis Dental Pllc | Dentist | 112 Alexander Ave Unit A, Lake Grove, NY 11755-0429 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.