Peter Y Shin, MD
Anesthesiology in Newark, New Jersey
1073991626- Practice location
- 185 S Orange Ave, Newark, NJ 07103-2757
- Phone
- 973-972-4300
- Fax
- —
- Last updated
- April 7, 2022
Peter Yong Seung Shin is an Anesthesiology based in Newark, NJ. Peter Yong Seung Shin practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Peter Yong Seung Shin is 1073991626 and holds a License No. 306709 (NY). The current practice location address for Peter Yong Seung Shin is 185 S Orange Ave, Newark, NJ 07103-2757 and can be reached out via phone at 973-972-4300.
Provider Profile Details
- NPI Number
- 1073991626
- Provider Name
- Peter Yong Seung Shin
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 185 S Orange Ave, Newark, NJ 07103-2757
- Phone Number
- 973-972-4300
- Primary Taxonomy
- Anesthesiology · 207L00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 15, 2015
- Last Update Date
- April 7, 2022
- Certification Date
- April 7, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 185 S Orange Ave
Newark, NJ 07103-2757 - City
- Newark
- State
- New Jersey
- Zip
- 07103-2757
- Phone Number
- 973-972-4300
Provider Business Mailing Address Details
- Address
- 1275 15TH St Apt 18E
Fort Lee, NJ 07024-1935 - City
- Fort Lee
- State
- NJ
- Zip
- 07024-1935
- Phone Number
- 201-978-4758
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 306709
- License State (2)
- NY
- Taxonomy (2)
- Anesthesiology · 207L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Peter Y Shin, MD?
The NPI number of Peter Y Shin, MD is 1073991626. It was assigned on May 15, 2015 and is currently active in the NPPES registry.
What is the specialty of Peter Y Shin, MD?
Peter Y Shin, MD is registered under the primary taxonomy Anesthesiology (code 207L00000X), licensed in NY under license number 306709.
Where does Peter Y Shin, MD practice?
The practice location is 185 S Orange Ave, Newark, NJ 07103-2757. The office can be reached at 973-972-4300 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073991626 directly on the NPPES registry website.