Dr Tony Jaewon Kim, DMD is a
Student In An Organized Health Care Education/training Program based in Brooklyn, New York. Dr Tony Jaewon Kim is licensed to practice in * (Not Available) (license number ) and his current practice location is
450 Clarkson Ave, Brooklyn, New York. He can be reached at his office (for appointments etc.) via phone at
(718) 270-1000.
NPI number for Dr Tony Jaewon Kim is 1245853753 and his current mailing address is 1 Nassau St Apt 906, Boston, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245853753.
Healthcare Provider's Profile
| Full Name | Dr Tony Jaewon Kim |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 450 Clarkson Ave, Brooklyn, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245853753
- Provider Enumeration Date: 05/19/2020
- Last Update Date: 04/19/2023
Medical Identifiers
Medical identifiers for Dr Tony Jaewon Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245853753 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 22DI02840600 (New Jersey) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tony Jaewon Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Tony Jaewon Kim, DMD
1 Nassau St Apt 906,
Boston, MA 02111-1554
Ph: () - | Dr Tony Jaewon Kim, DMD
450 Clarkson Ave,
Brooklyn, NY 11203-2012
Ph: (718) 270-1000 |
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