DR. KYUNGHEE NAM (NPI# 1134595796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134595796 |
| Entity Type | Individual |
| Full Name | DR. KYUNGHEE NAM |
| Credential | DDS |
| Practice Address |
30 Mall Dr W Ste 71-a Jersey City NJ 07310-1615 |
| Practice Telephone | 2016262500 |
| Mailing Telephone | 2016262500 |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 22DI02614200 | NJ | Dental Providers |
| Street Address |
30 MALL DR W STE 71-A |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07310-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082756 | Transformational Healthcare Services | Clinic/Center | 111 Town Square Place, Suite 1203 Pmb 1039, Jersey City, NJ 07310 | 2020-08-04 |
| 1538701032 | Yekaterina Shteyn, Od, PC | Optometrist | 30-103a Mall Drive West, Jersey City, NJ 07310 | 2019-10-16 |
| 1306397377 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 20 Mall Dr E, Jersey City, NJ 07310 | 2016-10-14 |
| 1285093641 | Amanda Christina Abou Ezzi I | Student in an Organized Health Care Education/Training Program | 30 River Ct, Apt 2302, Jersey City, NJ 07310 | 2016-02-15 |
| 1871967356 | Balvinder Bharj | Optometrist | 20 Mall Drive East, Lenscrafters Macys, Jersey City, NJ 07310 | 2015-11-20 |
| 1578949020 | Dietetic Care Practice LLC | Dietitian, Registered | 110-2907 River Dr South, Jersey City, NJ 07310 | 2015-08-07 |
| 1679816060 | Bendetta Fleming | Specialist/Technologist | 30 Newport Parkway, 507, Jersey City, NJ 07310 | 2013-04-03 |
| 1891041307 | Christina Ai-ling Chu | Optometrist | 30-267 Mall Dr. West, Jersey City, NJ 07310 | 2012-08-02 |
| 1346532538 | Bridget Lane | Speech-Language Pathologist | 45 River Dr So. Apt. 2109, Jersey City, NJ 07310 | 2011-05-06 |
| 1205067576 | Mark S Agababaev | Dentist | 30-71 A Mall Drive West, Jersey City, NJ 07310 | 2009-08-04 |
| Find all providers in zip 07310 | ||||
| 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 |
|---|---|---|---|---|
| 1841890092 | Refka A Salib | Dentist | 730 Newark Ave Apt 11i, Jersey City, NJ 07306-2816 | 2020-10-27 |
| 1629610746 | Woo Jin Cho | Dentist | 31 Montgomery St Ste 3, Jersey City, NJ 07302-3869 | 2019-10-09 |
| 1952828857 | Yuehong Fan | Dentist | 39 Oxford Ave Fl 1, Jersey City, NJ 07304-1669 | 2017-08-23 |
| 1659745065 | Hong-hoa Do | Dentist | 158 Wayne St Apt 328a, Jersey City, NJ 07302-3441 | 2015-11-23 |
| 1497131189 | Jay Patel | Dentist | 349 Second St, Suite B2, Jersey City, NJ 07302 | 2015-08-04 |
| 1437546926 | Xun Chen | Dentist | 20 2nd St Apt 507, Jersey City, NJ 07302-3076 | 2015-04-22 |
| 1063820462 | Briones Family Dental, Inc. | Dentist | 3592 John F. Kennedy Blvd, Jersey City, NJ 07307 | 2014-07-29 |
| 1679908156 | Ganga Verma | Dentist | 6 Cypress St, Jersey City, NJ 07305-4854 | 2013-09-04 |
| 1659705192 | Sriniketh Srinivasa | Dentist | 22 Glenwood Ave, Jersey City, NJ 07306-4631 | 2013-08-31 |
| 1235575176 | Eun Lauren Hur | Dentist | 412 Summit Ave, Jersey City, NJ 07306-3101 | 2013-05-20 |
| Find all providers in JERSEY CITY | ||||
| City | JERSEY CITY |
| Zip Code | 07310 |
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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.