Jason Donghyun Kim, in Lyndhurst, NJ - Medicare Dentist Provider

Jason Donghyun Kim, is a medicare enrolled "Dentist" provider in Lyndhurst, New Jersey. His current practice location is 542 New York Ave, Lyndhurst, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 623-3355.

Jason Donghyun Kim is licensed to practice in New Jersey (license number 22DI02806400) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467913863.

Contact Information

	Jason Donghyun Kim,
	542 New York Ave, Lyndhurst, NJ 07071-1532
	(201) 623-3355
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jason Donghyun Kim
Gender	Male
Speciality	Dentist
Location	542 New York Ave, Lyndhurst, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467913863
Provider Enumeration Date: 03/28/2019
Last Update Date: 08/27/2021

Medicare PECOS Information:

PECOS PAC ID: 6709205594
Enrollment ID: I20200928002855

Medical Identifiers

Medical identifiers for Jason Donghyun Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467913863	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	22DI02806400 (New Jersey)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jason Donghyun Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jason Donghyun Kim, 901 Mountain Ave # Sc13, Springfield, NJ 07081-3414 Ph: (973) 506-0159	Jason Donghyun Kim, 542 New York Ave, Lyndhurst, NJ 07071-1532 Ph: (201) 623-3355

Reviews and Comments

Dentist in Lyndhurst, NJ

Dr. Anthony J Candio, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 413 Ridge Rd, Lyndhurst, NJ 07071 Phone: 201-438-1311 Fax: 201-804-8884
Dr. Albert C Wong, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 260 Ridge Rd, Lyndhurst, NJ 07071 Phone: 201-933-0666
Dr. Rimma Chernyakhovskaya Silva, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 216 Stuyvesant Ave, Lyndhurst, NJ 07071 Phone: 201-939-8420
Nooreen Ali, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 633 Ridge Rd, Lyndhurst, NJ 07071 Phone: 201-939-5757
Dr. Frank Hunter, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 537 Stuyvesant Ave, Lyndhurst, NJ 07071 Phone: 201-438-9747
Celeste Hoin Kim, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 464 Valley Brook Ave Fl 2a, Lyndhurst, NJ 07071 Phone: 201-933-9092
Dr. John Philip Dicamillo, DDS Dentist Medicare: Medicare Enrolled Practice Location: 20 Park Avenue, Suite 2a, Lyndhurst, NJ 07071 Phone: 201-939-0549 Fax: 201-939-2470

Jason Donghyun Kim, - Medicare Dentist in Lyndhurst, NJ