DR. DAVID JIN (D.D.S.) – Dentist, NPI 1255334165
Dentist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
72 DENTIST in MA
Provider Addresses for DR. DAVID JIN (D.D.S.)
1864 Centre St Ste 2
Boston, MA 021321919
Phone: (617) 390-5371
Type: Location
1315 ANDERSON AVE STE A
FORT LEE, NJ 070241732
Phone: (201) 224-4400
Fax: (201) 224-4418
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $238.
Total Amount is formed as General ($238) + Research ($0) + Ownership ($0) = $238.
Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Align Technology, Inc. ($170).
Total Amount
$238
General + Research + Ownership
Payments
10
Total payment records
General Amount
$238
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Align Technology, Inc. | $170 |
| Ultradent Products Inc | $29 |
| GC America Inc. | $23 |
| Septodont Inc. | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-08-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231207003282 | I | Dentist | NJ | TBD |
| I20250806000286 | I | Dentist | MA | TBD |
| I20250818002843 | I | Dentist | NY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02132)
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