JASON DONGHYUN KIM (NPI# 1467913863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467913863 |
| Entity Type | Individual |
| Full Name | JASON DONGHYUN KIM |
| Other Name | DONG HYUN KIM |
| Practice Address |
542 New York Ave Lyndhurst NJ 07071-1532 |
| Mailing Address |
1100 Avenue At Port Imperial Apt 1036 Weehawken NJ 07086-6306 |
| Practice Telephone | 2016233355 |
| Mailing Telephone | 7189204321 |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2020-07-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 22DI02806400 | NJ | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 E 210th St, Bronx, NY 104672401 | 7189204321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023474921 | Jason Kim | Chiropractor | 2035 Royal Ln Ste 200, Dallas, TX 75229-7206 | 2016-01-07 |
| 1952785735 | Jason Kim | Dentist | 616 Virginia Beach Blvd Ste 102, Virginia Beach, VA 23451-4274 | 2015-07-12 |
| 1871904045 | Jason Kim | Chiropractor | 11900 Ne 1st St, Suite 300, Bellevue, WA 98005-3046 | 2014-05-09 |
| 1629302138 | Jason Kim | Dentist | 2220 Smokewood Ave, Fullerton, CA 92831-1107 | 2009-09-30 |
| 1275707846 | Jason Michael Kim | Urology | Department of Urology Hsc 9, Stony Brook University Medical Center, Stony Brook, NY 11794-7148 | 2008-04-15 |
| 1245451772 | Jason Jongwoon Kim | Acupuncturist | 16303 S. Western Ave., Suite 9, Gardena, CA 90247-4674 | 2007-05-01 |
| 1790793750 | Jason Kim | Dentist | 144-48 Roosevelt Ave, Ste Md-b, Flushing, NY 11354 | 2006-08-04 |
| 1013903475 | Jason Myungjoon Kim | Pharmacist | 8227 Woodman Ave, Panorama City, CA 91402-5426 | 2005-09-21 |
| 1205837945 | Jason S Kim | Pharmacist | 12724 Sagamore Rd, Leawood, KS 66209 | 2005-08-03 |
| 1205440104 | Jason Kim | Student in an Organized Health Care Education/Training Program | 11601 S Western Ave, Los Angeles, CA 90047-5006 | 2020-09-08 |
| Street Address |
542 NEW YORK AVE |
| City | LYNDHURST |
| State | NJ |
| Zip Code | 07071-1532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316504905 | Sarah West | Counselor | 1050 Well St West, Suite 310, Lyndhurst, NJ 07071 | 2019-05-20 |
| 1124588496 | Reed Next, Inc. | Clinic/Center | 1 Dekorte Park Plaza, Lyndhurst, NJ 07071 | 2019-03-22 |
| 1881181733 | Vein Care Associates of Nj Inc. | Specialist | 576 Valley Brook Ave., Suite 2, Lyndhurst, NJ 07071 | 2018-04-17 |
| 1952815789 | Michael Zakko | Acupuncturist | 480 Stuyvesant Ave, Lyndhurst, NJ 07071 | 2017-12-01 |
| 1083131544 | Core Surgery Center LLC | Clinic/Center | 256 Stuyvesant Avenue, Lyndhurst, NJ 07071 | 2017-08-25 |
| 1013446434 | Eva Pena | Counselor | 516 Valleybrook Ave., Lyndhurst, NJ 07071 | 2017-06-08 |
| 1578973392 | Boston Medical Group-new Jersey, P.a. | Urology | 1050 Wall Street West, Suite 120, Lyndhurst, NJ 07071 | 2014-05-01 |
| 1962849935 | Guardian Intraoperative Neuromomitoring | Clinic/Center | 576 Valley Brook Ave, Lyndhurst, NJ 07071 | 2013-05-30 |
| 1568736106 | Metro Anesthesia Associates LLC | Specialist | 256 Stuyvesant Ave, Lyndhurst, NJ 07071 | 2012-02-29 |
| 1215235437 | Sanil Gandhi | Pharmacist | 321 Wilson Avenue, Lyndhurst, NJ 07071 | 2011-03-11 |
| Find all providers in zip 07071 | ||||
| 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 |
|---|---|---|---|---|
| 1356791180 | Xena Alakailly | Dentist | 5593 Mayfield Rd, Lyndhurst, OH 44124-2927 | 2016-06-13 |
| 1609184456 | Jason A Warn | Dentist | 5031 Mayfield Rd, Suite 105, Lyndhurst, OH 44124-2670 | 2010-09-15 |
| 1538492392 | Younghee Lee | Dentist | 607 Marin Ave, Lyndhurst, NJ 07071-2527 | 2009-09-11 |
| 1447417910 | Ozra F Modarres | Dentist | 217 Stuyvesant Ave, Lyndhurst, NJ 07071 | 2008-05-21 |
| 1821204991 | Ronald James Scaletta | Dentist | 5406 Mayfield Rd, Lyndhurst, OH 44124 | 2007-05-15 |
| 1396865903 | Ted I Schechter | Dentist | 5031 Mayfield Rd Ste 105, Lyndhurst, OH 44124-2606 | 2007-03-29 |
| 1306979166 | John Philip Dicamillo | Dentist | 20 Park Avenue, Suite 2a, Lyndhurst, NJ 07071 | 2007-03-13 |
| 1558416859 | Paula Carvalho | Dentist | 216 Stuyvesant Ave, Lyndhurst, NJ 07071-1721 | 2007-01-24 |
| 1033219589 | Trista L Onesti | Dentist | 5255 Mayfield Rd, Lyndhurst, OH 44124 | 2006-09-25 |
| 1366405516 | Kirk A Kalogiannis | Dentist | 155 Park Ave, Suite 207, Lyndhurst, NJ 07071-1462 | 2006-04-10 |
| Find all providers in LYNDHURST | ||||
Please comment or provide details below to improve the information on JASON DONGHYUN KIM.
| 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.