Young K Kim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02201800 Issued in NJ

Practice address

6 Sylvan Ave
Englewood Cliffs, NJ 07632-2431

Phone

(201) 655-8575

Fax

(201) 944-1835

NPI assigned

Aug 25, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1184871840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 CITY PL",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070203172",
            "telephone_number": "201-403-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SYLVAN AVE",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322431",
            "telephone_number": "201-655-8575",
            "fax_number": "201-944-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOUNG",
        "middle_name": "K",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02201802",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02201800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soo K Kim, L.AC
• Sophia Cho Hee Kim
• Soyeon Monica Kim, D.D.S.
• Sung-Dong Kim, DC LAC CA
• Young Ju Kim
• Hannah Mae King
• Eugene C.H. Ko, M.D.
• Pan Sok Ko, M.D.
• Lee Christopher Kojanis, DDS
• Leora Kor, OTR/L, CHT

• General Practice Dentistry in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.