Dr. Mira Shin, MD
Sports Medicine (Preventive Medicine) Physician in Fort Lee, New Jersey
NPI 1659334498
Mira Shin is a Sports Medicine (Preventive Medicine) Physician based in Fort Lee, NJ and is specialized in Sports Medicine. Mira Shin practices in Fort Lee, NJ and has the professional credentials of MD. The NPI Number for Mira Shin is 1659334498 and holds a License No. 25MA07929700 (New Jersey).
The current practice location address for Mira Shin is 2050 Center Ave, Fort Lee, NJ and can be reached out via phone at 201-261-1000 and via fax at 201-261-1188.
Location: 2050 Center Ave, Fort Lee, NJ, 07024-4911
Provider Profile Details
NPI Number
1659334498
Provider Name
Mira Shin
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2050 Center Ave, Fort Lee, NJ, 07024-4911
Phone Number
201-261-1000
Fax Number
201-261-1188
Provider Enumeration Date
04/11/2006
Last Update Date
03/08/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9404330 | 01 | NJ | PHCS (PRIVATE HEALTHCARE SYSTEMS) |
| 20-8831104 | 01 | NJ | TAX ID # |
| 20-8831104 | 01 | NJ | MULTIPLAN |
| 7687754 | 01 | NJ | AETNA PPO # |
| P3635893 | 01 | NJ | OXFORD # |
| 20-8831104 | 01 | NJ | FAMILY CHOICE HEALTH |
| 3K6327 | 01 | NJ | HEALTHNET (PHS) |
| 161568 | 01 | NJ | GHI |
| 20-8831104 | 01 | NJ | CONSUMER HEALTH NETWORK(CHN) |
| 3696X1 | 01 | NY | EMPIRE BLUECROSSBLUESHIELD NY (WELL CHOICE) |
| 1151716 | 01 | NJ | AETNA HMO # |
| 1749400 | 01 | NJ | CIGNA |
| 3K2116 | 01 | NJ | HEALTHNET # |
Provider Business Practice Location Address Details
Address
2050 Center Ave
City
State
Zip
07024-4911
Phone Number
201-261-1000
Fax Number
201-261-1188
Provider Business Mailing Address Details
Address
2050 Center Ave
City
State
Zip
07024-4911
Phone Number
201-261-1000
Fax Number
201-261-1188
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
25MA07929700 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Physical Medicine & Rehabilitation
Speciality
-
Taxonomy
License No.
25MA07929700 (New Jersey)
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Physical Medicine & Rehabilitation
Speciality
Hospice and Palliative Medicine
Taxonomy
License No.
25MA07929700 (New Jersey)
Definition
A physical medicine and rehabilitation physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Physical Medicine & Rehabilitation
Speciality
Pain Medicine
Taxonomy
License No.
25MA07929700 (New Jersey)
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Physical Medicine & Rehabilitation
Speciality
Sports Medicine
Taxonomy
License No.
25MA07929700 (New Jersey)
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
Provider's Taxonomy Details 6
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Sports Medicine
Taxonomy
License No.
25MA07929700 (New Jersey)
Definition
A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
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