Active NPI
Duen S. Shih, M.D., P.a.
- Pain Medicine Physician
- Jersey City, NJ
National Provider Identifier
1063657773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 25MA03107100
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 25MA03107100 | NJ | |
| Pain Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1034804 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI 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.