DR. JAE Y KIM M.D. NPI 1609168327

NPI Information

  • NPI: 1609168327
  • Provider Name: DR. JAE Y KIM, M.D.
  • Classification: Otolaryngology - 207YS0123X
  • Specialization: Facial Plastic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2200 WILSON BLVD STE 102-219
    ARLINGTON, VA
    ZIP 22201
  • Phone: (347) 551-1113

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NPI Details

DR. Jae Y Kim, M.D. is a facial plastic surgery otolaryngology in Arlington, VA with 15 years of experience. The provider is an otolaryngologist who specializes in facial plastic surgery. DR. Jae Y Kim, M.D. NPI is 1609168327. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

2200 WILSON BLVD STE 102-219
ARLINGTON, VA
ZIP 22201-397
Phone: (347) 551-1113

The NPI 1609168327 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/12/2011 and was last updated on 9/3/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YS0123XOtolaryngologyFacial Plastic Surgery0101259733VIRGINIAYes
2207Y00000XOtolaryngology0101259733VIRGINIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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