Doctor profile · Federal record

Dr. Jason Kim

Dentist · Student in an Organized Health Care Education/Training Program · Lyndhurst, NJ

  • NPI 1467913863
  • 7 yrs on file
  • Male
  • Solo practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
542 New York Ave
Lyndhurst, NJ 070711532
(201) 623-3355
Additional location
111 E 210Th St
Bronx, NY 104672401
(718) 920-4321
Mailing address
901 Mountain Ave # Sc13
Springfield, NJ 070813414

Credentials & registration

NPPES · NUCC
NPI registered
March 2019 — 7 yrs on file
Profile last updated
August 27, 2021
Specialty taxonomy
122300000X — NUCC code
State license (1)
New Jersey #22DI02806400

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1467913863. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$47
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Envista Holdings Corporation 1 $46.76

By nature of payment

Food and Beverage
$47

Frequently asked questions

Auto-generated from federal data
What is Dr. Jason Kim's medical specialty?
Dr. Jason Kim practices Dentist in Lyndhurst, NJ.
Where does Dr. Jason Kim practice?
Dr. Jason Kim practices at 542 New York Ave, Lyndhurst, NJ 070711532. Office phone: 2016233355.
What is Dr. Jason Kim's NPI?
Dr. Jason Kim's National Provider Identifier (NPI) is 1467913863, issued by NPPES.