Paul J Kim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

049961-1 Issued in NY

Practice address

7 Hemion Rd
Suffern, NY 10901-4919

Phone

(845) 357-3244

Fax

(845) 357-3251

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, MA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1811002058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HEMION RD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014919",
            "telephone_number": "845-357-3244",
            "fax_number": "845-357-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HEMION RD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014919",
            "telephone_number": "845-357-3244",
            "fax_number": "845-357-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "PAUL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049961-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Kessaris
• Christa Jean Keyzer, NP
• Sakina Khan, M.D.
• Alla Khlebnikova, RN.
• Daniel J Kilby
• Susy Anne Kim, RN
• Shannon Dawn Kinne, L.P.N.
• Susan Rita Kirshner, CSW
• Patricia Margaret Kivlehan
• Raizy Klahr, P.A.

• General Practice Dentistry in Suffern, NY
• Providers in Suffern, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.