Active NPIIndividual providerSole proprietor

Clark H Shin, OTR/L

Occupational Therapist in Old Bridge, New Jersey

NPI Number1366938862
Practice location
132 Goldmine Ln, Old Bridge, NJ 08857-3325
Fax
—
Last updated
July 8, 2018

Clark Hyun-Il Shin is an Occupational Therapist based in Old Bridge, NJ. Clark Hyun-Il Shin practices in Old Bridge, NJ and has the professional credentials of OTR/L. The NPI Number for Clark Hyun-Il Shin is 1366938862 and holds a License No. 46TR00710600 (NJ). The current practice location address for Clark Hyun-Il Shin is 132 Goldmine Ln, Old Bridge, NJ 08857-3325 and can be reached out via phone at 732-672-6866.

Provider Profile Details

NPI Number
1366938862
Provider Name
Clark Hyun-Il Shin
Credential
OTR/L
Provider Entity Type
Individual
Gender
Male
Address
132 Goldmine Ln, Old Bridge, NJ 08857-3325
Phone Number
732-672-6866
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 8, 2018
Last Update Date
July 8, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
132 Goldmine Ln
Old Bridge, NJ 08857-3325
Zip
08857-3325
Phone Number
732-672-6866
Old Bridge, NJ 08857Get directions →

Provider Business Mailing Address Details

Address
132 Goldmine Ln
Old Bridge, NJ 08857-3325
City
Old Bridge
State
NJ
Zip
08857-3325
Phone Number
732-672-6866

License Information

License Number
46TR00710600
License State
NJ
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Clark H Shin, OTR/L?

The NPI number of Clark H Shin, OTR/L is 1366938862. It was assigned on July 8, 2018 and is currently active in the NPPES registry.

What is the specialty of Clark H Shin, OTR/L?

Clark H Shin, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR00710600.

Where does Clark H Shin, OTR/L practice?

The practice location is 132 Goldmine Ln, Old Bridge, NJ 08857-3325. The office can be reached at 732-672-6866 (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 1366938862 directly on the NPPES registry website.

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