Individual provider Active NPI

David Yhoshin Kim, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Union, NJ
National Provider Identifier
1972763530
Registry record updated Aug 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
25MA09254400 Issued in NJ
Practice address
1000 Galloping Hill Rd
Suite 305
Union, NJ 07083-7989
Phone
(908) 458-8330
NPI assigned
Jun 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA09254400 NJ
Retina Specialist (Ophthalmology) Physician 207WX0107X 25MA09254400 NJ Primary

Addresses

Primary practice location

1000 Galloping Hill Rd
Suite 305
Union, NJ 07083-7989

Mailing address

1000 Galloping Hill Rd
Suite 305
Union, NJ 07083-7989
Phone (908) 458-8330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20130720000267 NJ Practitioner - Ophthalmology 2769651066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Columbia University College of Physicians and Surgeons, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Retinal Consultants LLCGroup PAC ID 2961509161, 115 clinicians

Practice addresses (Care Compare)

628 Cedar LN
Teaneck, NJ 07666-1704
Phone (201) 837-7300

Merit-based Incentive Payment System (MIPS)

Final score
91.52 of 100Reported as group
Quality
95.9
Promoting interoperability
100
Improvement activities
40
Cost
75.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09254400NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Retinal Consultants LLC Ophthalmology CurrentSince Aug 1, 2013 Accepting new patients
Associated Retinal Consultants LLC CurrentSince Aug 1, 2013 Accepting new patients
Massachusetts Eye and Ear Associates, Inc. Ophthalmology Past Accepting new patients
South Suburban Ear, Nose & Throat Assoc Inc Past Accepting new patients
Complete Vision Services Ophthalmology Past Accepting new patients

Locations

50 Newark Ave
Ste 306
Belleville, NJ 07109
Phone (973) 450-0220

315 Elmora Ave
Ste 202
Elizabeth, NJ 07208
Phone (908) 409-4900

182 South St
Ste 5
Morristown, NJ 07960
Phone (201) 267-3944

10 Plum St
Ste 600
New Brunswick, NJ 08901
Phone (732) 220-1600

200 S Broad St
Ridgewood, NJ 07450
Phone (201) 444-0009

628 Cedar Ln
Teaneck, NJ 07666
Phone (201) 837-7300

1000 Galloping Hill Rd
Ste 305
Union, NJ 07083
Phone (908) 458-8330

3196 Kennedy Blvd
Union City, NJ 07087
Phone (201) 223-4949

1044 State Route 23
Ste 207
Wayne, NJ 07470

Organizations & group practices 5

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": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501545600000",
    "number": "1972763530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 GALLOPING HILL RD",
            "address_2": "SUITE 305",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837989",
            "telephone_number": "908-458-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GALLOPING HILL RD",
            "address_2": "SUITE 305",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837989",
            "telephone_number": "908-458-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DAVID",
        "middle_name": "YHOSHIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2017-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA09254400",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NJ",
            "license": "25MA09254400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.