Hochul Shin, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DI02155900 Issued in NJ

Practice address

660 Kinderkamack Rd Ste 202
Oradell, NJ 07649-1525

Phone

(201) 634-9400

Fax

(201) 634-9488

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Richard Ho Shin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962585935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 AVE AT PORT IMPERIAL APT 522",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070937807",
            "telephone_number": "201-865-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 KINDERKAMACK RD STE 202",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491525",
            "telephone_number": "201-634-9400",
            "fax_number": "201-634-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "HOCHUL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "DI02155900",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "048742",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "SHIN",
            "middle_name": "HO",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rachael Schupak
• Theresa E Segat, D.M.D.
• Caryn H Sender, MS CCC-SLP
• Purissa A Seville, P.T.
• Rachel Shemesh, MA
• Daren Shiu, DO
• Stephen H. Sidorsky, LCSW
• Joseph Silverman, DMD
• Maddie Singer, B.F.A., B.A.
• Guy Ernest Siraki, CHIROPRACTOR

• Periodontics in Oradell, NJ
• Providers in Oradell, NJ by specialty
• Periodontics 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.