Nara C Shin, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD432435 Issued in PA

Practice address

Washington Road
Princeton, NJ 08544-5002

Phone

(609) 258-3141

NPI assigned

Jul 7, 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Id Care LLC

  • Infectious Disease Physician
  • Hillsborough, NJ
  • NPI 1639146277
  NPD (past)
• Princeton University Health Services

  • Student Health Clinic/Center
  • Princeton, NJ
  • NPI 1982812137
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1952333494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WASHINGTON ROAD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085440001",
            "telephone_number": "609-258-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WASHINGTON ROAD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085445002",
            "telephone_number": "609-258-3141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Plainsboro Rd",
            "address_purpose": "LOCATION",
            "city": "Plainsboro",
            "state": "NJ",
            "postal_code": "085361913",
            "country_code": "US",
            "telephone_number": "609-853-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIN",
        "first_name": "NARA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD432435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101980886",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0140376",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Francis Sheridan, LMT, NMT
• Kelly Rose Sherman, ATC
• Anish A Sheth, MD
• Tatyana O Shields, LCSW
• Shikas Devoted Home Care Services
• Vivian Shnaidman, M.D.
• Amy Rubin Shriver, M.D.
• Laura L. Shwahla, LCSW
• Hao Un Si-Tou
• Lindsey Sibel, PA-C

• Emergency Medicine Physician in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Emergency Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.