Individual provider Active NPI

Jin Young Kim, M.D.

  • Orthopaedic Surgery Physician
  • Tenafly, NJ
National Provider Identifier
1346794880
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
341160 Issued in NY
Practice address
35 Jewett Ave
Tenafly, NJ 07670-1902
Phone
(201) 615-6275
Fax
(201) 615-6275
NPI assigned
Aug 13, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X FT564 KY
Orthopaedic Surgery Physician 207X00000X 341160 NY Primary

Addresses

Primary practice location

35 Jewett Ave
Tenafly, NJ 07670-1902

Mailing address

35 Jewett Ave
Tenafly, NJ 07670-1902
Phone (201) 615-6275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260312000128 NY Practitioner - Orthopedic Surgery 1456834068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

207 E 57TH St
Apt 7C
New York, NY 10022-2818

35 Jewett Ave
Tenafly, NJ 07670-1902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
341160NYMDOrthopaedic Surgery Physician
FT564KYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald C. Huang M.D. LLC Orthopaedic Surgery CurrentSince Mar 3, 2026 Accepting new patients

Locations

3701 Main St
Ste 2
Flushing, NY 11354
Phone (718) 808-8181

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1471046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1346794880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 JEWETT AVE",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701902",
            "telephone_number": "201-615-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 JEWETT AVE",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701902",
            "telephone_number": "201-615-6275",
            "fax_number": "201-615-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JIN YOUNG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-13",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KY",
            "license": "FT564",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "341160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tenafly, NJ

Sources for this page

Verify at the official NPI Registry.