Organization Active NPI

Duen S. Shih, M.D., P.a.

  • Pain Medicine Physician
  • Jersey City, NJ
National Provider Identifier
1063657773
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
25MA03107100 Issued in NJ
Legal business name
DUEN S. SHIH, M.D., P.A.
Practice address
600 Pavonia Ave
Jersey City, NJ 07306-2929
Phone
(973) 564-8159
Fax
(973) 453-3308
NPI assigned
Dec 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Authorized official

Name
Duen S Shih, MD
Title
Self / Owner
Phone
(973) 564-8159

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X 25MA03107100 NJ
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X 25MA03107100 NJ Primary

Addresses

Primary practice location

600 Pavonia Ave
Jersey City, NJ 07306-2929

Mailing address

75 Kean Rd
Short Hills, NJ 07078-1409
Phone (973) 564-8159

Other identifiers 1

IdentifierTypeStateIssuer
1034804MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1063657773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 KEAN RD",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070781409",
            "telephone_number": "973-564-8159",
            "fax_number": "973-453-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PAVONIA AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062929",
            "telephone_number": "973-564-8159",
            "fax_number": "973-453-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUEN S. SHIH, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "SHIH",
        "authorized_official_first_name": "DUEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SELF / OWNER",
        "authorized_official_telephone_number": "973-564-8159",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA03107100",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": "25MA03107100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1034804",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.