Organization Active NPI

Eun H. Sheen, M.D., P.C.

  • Allergy & Immunology Physician
  • Englewood Cliffs, NJ
National Provider Identifier
1063511657
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MA03956200 Issued in NJ
Legal business name
EUN H. SHEEN, M.D., P.C.
Practice address
460 Sylvan Ave Ste 205
Englewood Cliffs, NJ 07632-2923
Phone
(201) 567-0404
Fax
(201) 567-5590
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Eun Ho Sheen, M.D.
Title
Doctor
Phone
(201) 567-0404

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 001386 NY
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X NJ
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X MA03956200 NJ Primary

Addresses

Primary practice location

460 Sylvan Ave Ste 205
Englewood Cliffs, NJ 07632-2923

Mailing address

460 Sylvan Ave Ste 205
Englewood Cliffs, NJ 07632-2923
Phone (201) 567-0404

Other identifiers 1

IdentifierTypeStateIssuer
3700704MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1063511657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 SYLVAN AVE STE 205",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322923",
            "telephone_number": "201-567-0404",
            "fax_number": "201-567-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 SYLVAN AVE STE 205",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322923",
            "telephone_number": "201-567-0404",
            "fax_number": "201-567-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUN H. SHEEN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "SHEEN",
        "authorized_official_first_name": "EUN HO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "201-567-0404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "001386",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "MA03956200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3700704",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood Cliffs, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.