Mr. Dongwuk Shin, MD
Internal Medicine in River Edge, New Jersey
1083005151- Practice location
- 130 Kinderkamack RD., River Edge, NJ 07661
- Phone
- 201-567-0633
- Fax
- 201-567-0633
- Last updated
- February 11, 2015
Dongwuk Shin is an Internal Medicine based in River Edge, NJ. Dongwuk Shin practices in River Edge, NJ and has the professional credentials of MD. The NPI Number for Dongwuk Shin is 1083005151 and holds a License No. 25MA02974800 (NJ). The current practice location address for Dongwuk Shin is 130 Kinderkamack RD., River Edge, NJ 07661 and can be reached out via phone at 201-567-0633 and via fax at 201-567-0633.
Provider Profile Details
- NPI Number
- 1083005151
- Provider Name
- Dongwuk Shin
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 130 Kinderkamack RD., River Edge, NJ 07661
- Phone Number
- 201-567-0633
- Fax Number
- 201-567-0633
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 11, 2015
- Last Update Date
- February 11, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 130 Kinderkamack RD.
River Edge, NJ 07661 - City
- River Edge
- State
- New Jersey
- Zip
- 07661
- Phone Number
- 201-567-0633
- Fax Number
- 201-567-0633
Provider Business Mailing Address Details
- Address
- P.o. Box 247
River Edge, NJ 07661 - City
- River Edge
- State
- NJ
- Zip
- 07661
- Phone Number
- 201-567-0633
- Fax Number
- 201-567-0633
License Information
- License Number (1)
- 25MA02974800
- License State (1)
- NJ
- Taxonomy (1)
- Internal Medicine · 207R00000X · Primary
- License Number (2)
- 25MA02974800
- License State (2)
- NJ
- Taxonomy (2)
- Internal Medicine, Pulmonary Disease · 207RP1001X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near River Edge, NJ
View all Internal Medicine providers in River Edge →Frequently Asked Questions
What is the NPI number of Mr. Dongwuk Shin, MD?
The NPI number of Mr. Dongwuk Shin, MD is 1083005151. It was assigned on February 11, 2015 and is currently active in the NPPES registry.
What is the specialty of Mr. Dongwuk Shin, MD?
Mr. Dongwuk Shin, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA02974800.
Where does Mr. Dongwuk Shin, MD practice?
The practice location is 130 Kinderkamack RD., River Edge, NJ 07661. The office can be reached at 201-567-0633 (phone) or 201-567-0633 (fax).
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 1083005151 directly on the NPPES registry website.