Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467913863 Individual Practitioner Male Practitioner

Jason Donghyun Kim

Dentist • Lyndhurst, NJ

Professional Overview & Biography Verified Profile Summary

Jason Kim is a registered healthcare professional specializing in Dentist in Lyndhurst, NJ. Practice services are available at 542 NEW YORK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

542 New York Ave

Lyndhurst, NJ 070711532

Telephone 2016233355

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Lyndhurst, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.7 Yrs
Regional Practice Density
8 Specialists

Practicing in Lyndhurst, NJ (2906 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-08-10
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NJ 22DI02806400

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

111 E 210th St

Bronx, NY 104672401

Phone: 7189204321

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Mouad Gseir

Dentist - General Practice

NPI 1487112033
NPI 1558004978
NPI 1700400058

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Business Mailing Address August 27, 2021

Registered at 901 MOUNTAIN AVE # SC13, SPRINGFIELD, NJ 070813414 (Tel: 9735060159)

📍
Updated Practice Location July 21, 2020

Registered at 542 NEW YORK AVE, LYNDHURST, NJ 070711532 (Tel: 2016233355)

📍
Updated Business Mailing Address July 21, 2020

Registered at 1100 AVENUE AT PORT IMPERIAL APT 1036, WEEHAWKEN, NJ 070866306 (Tel: 7189204321)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2020

Dentist (License #22DI02806400 in NJ)

NPI Profile Active March 28, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2019

Registered at 111 E 210TH ST, BRONX, NY 104672401 (Tel: 7189204321)

📍
Updated Business Mailing Address March 28, 2019

Registered at 111 E 210TH ST, BRONX, NY 104672401 (Tel: 7189204321)

👤
Provider Name / Credentials Updated March 28, 2019

Recorded as JASON KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 28, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467913863
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2019
Last Update: August 27, 2021
Sole Proprietor: Yes

Mailing Address

901 Mountain Ave # Sc13

Springfield, NJ 070813414

Phone: 9735060159

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.