Yeon A Shim, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

MD002426 Issued in NJ

Practice address

1305 Saint George Ave
Roselle, NJ 07203-2806

Phone

(908) 620-3200

Fax

(908) 620-1040

NPI assigned

Jul 5, 2006

Sex

Female

Sole proprietor

Yes

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: yeonshim42gmail.com@rpgp-nj.direct.office.nextgen.com

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.

• Roselle Podiatry Group, PA

  • Foot Surgery Podiatrist
  • Roselle, NJ
  • NPI 1003139031

  Foot Surgery, NJ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451692800000",
    "number": "1679504302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 E 3RD AVE",
            "address_2": "STE 2",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072031697",
            "telephone_number": "908-620-3200",
            "fax_number": "908-620-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 SAINT GEORGE AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072032806",
            "telephone_number": "908-620-3200",
            "fax_number": "908-620-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIM",
        "first_name": "YEON",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2016-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "MD002426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Richard Schiffer, RPH ESQ
• Richard Louis Scotti, D.D.S.
• Andrea Servil
• Jane Shalman, D.D.S.
• Charles Shearcraft, PHARMD
• Mark Shmulevich, M.D.
• Nicole Siha, LPC, NCC
• Gerard Silaire, LPN
• Roseann Marcella Singh-Hazell, LPN
• Karen Singh

• Foot Surgery Podiatrist in Roselle, NJ
• Providers in Roselle, NJ by specialty
• Foot Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.