Individual provider

Chang Min Yim, DMD

Oral & Maxillofacial Surgery (D.M.D.) Medicare enrolled

Chang Min Yim, DMD is a provider specialising in Oral & Maxillofacial Surgery (D.M.D.) in Newark, NJ, registered under NPI 1417398405.

Getting there

The practice address on file is 110 BERGEN ST # B854, Newark, NJ 07103. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

110 BERGEN ST # B854, Newark, NJ 07103 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
16977 MD Oral & Maxillofacial Surgery (D.M.D.) primary

This provider holds licence 16977 issued in MD. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Oral Surgery
PAC ID
8820325384
Enrollment ID
I20230728001427

Medicare enrolment is recorded as approved under the provider type Practitioner - Oral Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Oral & Maxillofacial Surgery covers

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. NUCC Health Care Provider Taxonomy, code 204E00000X
Allopathic & Osteopathic Physicians Oral & Maxillofacial Surgery

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1417398405 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 8, 2013
Last updatedJun 12, 2023
StatusActive
Sole proprietorNo
CredentialDMD
Practice address 110 BERGEN ST # B854
Newark, NJ 07103
(973) 972-7462
Fax (973) 972-7322
Mailing address 7001 ARLINGTON RD
Bethesda, MD 20814
The last update on file is Jun 12, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1417398405 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 1 7 3 9 8 4 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 2 7 6 9 7 4 0

Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1417398405?
NPI 1417398405 is the National Provider Identifier assigned to Chang Min Yim, DMD in Newark, NJ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Oral & Maxillofacial Surgery (D.M.D.) cover?
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained…
How do I contact Chang Min Yim, DMD?
The phone number on file with NPPES is (973) 972-7462, last updated Jun 12, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Chang Min Yim, DMD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1417398405 a valid number?
Yes. 1417398405 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.