Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mingi Nicole Sim

Individual provider General Practice Dentistry · NPI 1629755087

Mingi Nicole Sim is a Dentist in Bloomfield, New Jersey. Qualified in 2024, 2 years ago. Works from 2 locations. Licensed in New Jersey and New York.

Years since qualifying
2
Licensed in
NJ, NY
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

10 Broad St
Bloomfield, NJ 07003-2524
Phone: (973) 744-7003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 280 N Central Ave Ste 420, Hartsdale, NY 10530-1842 — (914) 874-5121

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 22DI03107500 (NJ)
General Practice Dentistry Taxonomy 1223G0001X · Licence 06465801 (NY)

Record details

NPI number1629755087
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 28, 2023
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025
Mailing address10 Broad St, Bloomfield, NJ 07003-2524

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Bloomfield