Hyun Won Shin, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02267100 Issued in NJ

Practice address

422 Main St FL 1
Fort Lee, NJ 07024-2861

Phone

(917) 291-0677

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Anna Shin DDS, Inc

  • Dental Clinic/Center
  • Fort Lee, NJ
  • NPI 1467971614
  NPD Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396834016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 MAIN ST FL 1",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242861",
            "telephone_number": "917-291-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 MAIN ST FL 1",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242861",
            "telephone_number": "917-291-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "HYUN WON",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02267100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bella Shapnik, MD
• Eun H Sheen, MD
• Marina Shikhman, PH.D.
• Jae Hyun Shim, MD
• David Shin
• Maria Shin, D.D.S.
• Mira Shin, M.D.
• Seung Ho Shin, L.AC.
• Tomomi Jasmine Shore
• Randy N. Shreck, PHARMACIST

• General Practice Dentistry in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.