Yong H. Shin, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA03183100 Issued in NJ

Practice address

50 Park Ave
Paterson, NJ 07501-2207

Phone

(973) 278-9800

Fax

(973) 278-0070

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912008632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 MAPLE AVE",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571108",
            "telephone_number": "201-945-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PARK AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075012207",
            "telephone_number": "973-278-9800",
            "fax_number": "973-278-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "YONG",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA03183100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2009102",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakpa Sherpa
• Nimmi Sherpa
• Elvira Sheykhametova
• Aiman K Shilad, M.D.
• Wae Y. Shin, OD
• Shirdi Baba Pharmacy Corp
• Oluwaseun Shobitan, MD
• Shree Bhavini Pharmacy Inc
• Noma Shri, MD
• Ninad Shroff, MD

• Pediatrics Physician in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.