Active NPI
Sumi Kim, DMD
- Dentist
- Clifton, NJ
National Provider Identifier
1982442729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI03033000
- Practice address
- 1240 Main Ave Ste 2
Clifton, NJ 07011-2262 - Phone
- (973) 473-0900
- NPI assigned
- Jul 16, 2024
- Last updated
- Jul 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI03033000 | NJ | Primary |
Addresses
Primary practice location
1240 Main Ave Ste 2
Clifton, NJ 07011-2262
Mailing address
56 Broad St Apt 424
Bloomfield, NJ 07003-2374
Phone (313) 204-8280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI03033000 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clifton Dental Spa LLC | Current | Accepting new patients |
Locations
1240 Main Ave
Ste 2
Clifton, NJ 07011
Phone (973) 473-0900
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1982442729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 BROAD ST APT 424",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070032374",
"telephone_number": "313-204-8280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 MAIN AVE STE 2",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070112262",
"telephone_number": "973-473-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SUMI",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-16",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI03033000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.