Individual provider Active NPI

Eun H Sheen, MD

  • Allergy & Immunology Physician
  • Fort Lee, NJ
National Provider Identifier
1255316675
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
25MA03956200 Issued in NJ
Practice address
158 Linwood PLZ Ste 319
Fort Lee, NJ 07024-3798
Phone
(201) 567-0404
NPI assigned
Dec 8, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 25MA03956200 NJ Primary

Addresses

Primary practice location

158 Linwood PLZ Ste 319
Fort Lee, NJ 07024-3798

Mailing address

158 Linwood PLZ Ste 319
Fort Lee, NJ 07024-3798
Phone (201) 567-0404

Other practice location 1

1409 2nd Ave
New York, NY 10021-3770
Phone (201) 567-0404

Other identifiers 15

IdentifierTypeStateIssuer
3469257OtherNJAETNA
6N8111OtherNJEMPIRE BC
443282OtherNJWELLCARE
2415310000OtherNJAMERIHEALTH
4902844OtherNJCIGNA
P3239780OtherNJOXFORD
3428296OtherNJAETNA
1255316675OtherNJU.S. FAMILY HEALTH
2695794OtherG.H.I. EMBLEM HEALTH
3700704MedicaidNJ
60018394OtherNJHORIZON N.J. HEALTH
0115992OtherNJAMERIGROUP
1255316675OtherNJTRICARE
3469257OtherNJAETNA HMO
1255316675OtherNJCOVENTRY HEALTH-FIRST HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041014000926 NJ Practitioner - Pediatric MedicinePractitioner - Allergy/Immunology 7719947696 Reassigns benefits to 1 organization
I20230302002707 NY Practitioner - Allergy/Immunology 7719947696 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Allergy/Immunology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sudhir M Parikh MD PAGroup PAC ID 1153234406, 9 clinicians

Practice addresses (Care Compare)

18 N 3Rd Ave
Highland Park, NJ 08904-2408

546 Westfield Ave
Center for Asthma and Allergy
Westfield, NJ 07090-3312
Phone (908) 232-1565

926 N Wood Ave
Center for Asthma and Allergy
Linden, NJ 07036-4040
Phone (908) 925-3318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA03956200NJMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sudhir M Parikh M D P a Allergy & Immunology CurrentSince Aug 28, 2012 Accepting new patients
Eun H. Sheen, M.D., P.C. Allergy & Immunology CurrentSince Dec 27, 2022 Accepting new patients
Allergy and Skin MD LLC PastSince Dec 6, 2022 Accepting new patients
J Dermatology and Allergy PC Allergy & Immunology Past Accepting new patients

Locations

158 Linwood Plz
Ste 319
Fort Lee, NJ 07024
Phone (201) 567-0404

18 N 3rd Ave
Highland Park, NJ 08904
Phone (732) 545-0094

90 Millburn Ave
Ste 200
Millburn, NJ 07041
Phone (973) 763-5787

617 79th St
North Bergen, NJ 07047
Phone (201) 854-8119

611 79th St
North Bergen, NJ 07047
Phone (201) 854-8119

546 Westfield Ave
Westfield, NJ 07090
Phone (908) 232-1565

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1255316675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 LINWOOD PLZ STE 319",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243798",
            "telephone_number": "201-567-0404",
            "fax_number": "201-482-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 LINWOOD PLZ STE 319",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243798",
            "telephone_number": "201-567-0404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1409 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100213770",
            "country_code": "US",
            "telephone_number": "201-567-0404",
            "fax_number": "201-482-8856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEEN",
        "first_name": "EUN",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-08",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "25MA03956200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3469257",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC",
            "identifier": "6N8111",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "443282",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2415310000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4902844",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3239780",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3428296",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U.S. FAMILY HEALTH",
            "identifier": "1255316675",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G.H.I. EMBLEM HEALTH",
            "identifier": "2695794",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3700704",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON N.J. HEALTH",
            "identifier": "60018394",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "0115992",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1255316675",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3469257",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH-FIRST HEALTH",
            "identifier": "1255316675",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

Verify at the official NPI Registry.