Celeste Hoin Kim, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DI02529800 Issued in NJ

Practice address

464 Valley Brook Ave FL 2a
Lyndhurst, NJ 07071-1995

Phone

(201) 933-9092

NPI assigned

Jan 14, 2009

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lyndhurst Family Dental Associates, PC

  • General Practice Dentistry
  • Lyndhurst, NJ
  • NPI 1093620262
  NPD (past)

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1295972115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 VALLEY BROOK AVE FL 2A",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711995",
            "telephone_number": "201-933-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 VALLEY BROOK AVE FL 2A",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711995",
            "telephone_number": "201-933-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CELESTE",
        "middle_name": "HOIN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS037622",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "DI02529800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen a. Robinson DC,PA
• Vaidehi V Kathiria
• Kaufman Chiropractic
• Christian Jude Kaufman, DC
• Mansi V Khunt
• Jason Donghyun Kim
• Jessica Kim
• Kirk Knutsen, M.S.
• Carly Krupat, LCSW
• Ladder Counseling & Wellness

• Periodontics in Lyndhurst, NJ
• Providers in Lyndhurst, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.