Grace Jiae Kim, - Dentist in Fort Lee, NJ

Grace Jiae Kim, is a Dentist - Orthodontics And Dentofacial Orthopedics based in Fort Lee, New Jersey. Grace Jiae Kim is licensed to practice in New Jersey (license number 22DI02719500) and her current practice location is 1315 Anderson Ave, Fort Lee, New Jersey. She can be reached at her office (for appointments etc.) via phone at (201) 886-8400.

NPI number for Grace Jiae Kim is 1093207235 and her current mailing address is 1315 Anderson Ave, Fort Lee, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093207235.

Contact Information

Grace Jiae Kim,
1315 Anderson Ave,
Fort Lee, NJ 07024-1769
(201) 886-8400
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameGrace Jiae Kim
GenderFemale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location1315 Anderson Ave, Fort Lee, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093207235
  • Provider Enumeration Date: 06/04/2018
  • Last Update Date: 11/29/2022

Medical Identifiers

Medical identifiers for Grace Jiae Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093207235NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 32361 (Texas)Secondary
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 059690 (New York)Secondary
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 22DI02719500 (New Jersey)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. Grace Jiae 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 AddressPractice Location Address
Grace Jiae Kim,
1315 Anderson Ave,
Fort Lee, NJ 07024-1769

Ph: (201) 886-8400
Grace Jiae Kim,
1315 Anderson Ave,
Fort Lee, NJ 07024-1769

Ph: (201) 886-8400

Reviews and Comments


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