Dr. Mira Shin, MD
Physical Medicine & Rehabilitation in Fort Lee, New Jersey
1659334498- Practice location
- 2050 Center Ave, Ste 425, Fort Lee, NJ 07024-4911
- Phone
- 201-261-1000
- Fax
- 201-261-1188
- Last updated
- February 5, 2016
Mira Shin is a Physical Medicine & Rehabilitation based in Fort Lee, NJ. 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 (NJ). The current practice location address for Mira Shin is 2050 Center Ave, Ste 425, Fort Lee, NJ 07024-4911 and can be reached out via phone at 201-261-1000 and via fax at 201-261-1188.
Provider Profile Details
- NPI Number
- 1659334498
- Provider Name
- Mira Shin
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2050 Center Ave, Ste 425, Fort Lee, NJ 07024-4911
- Phone Number
- 201-261-1000
- Fax Number
- 201-261-1188
- Primary Taxonomy
- Physical Medicine & Rehabilitation · 208100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 11, 2006
- Last Update Date
- February 5, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2050 Center Ave
Ste 425
Fort Lee, NJ 07024-4911 - City
- Fort Lee
- State
- New Jersey
- Zip
- 07024-4911
- Phone Number
- 201-261-1000
- Fax Number
- 201-261-1188
Provider Business Mailing Address Details
- Address
- 2050 Center Ave
Ste 425
Fort Lee, NJ 07024-4911 - City
- Fort Lee
- State
- NJ
- Zip
- 07024-4911
- Phone Number
- 201-261-1000
- Fax Number
- 201-261-1188
License Information
- License Number (1)
- 25MA07929700
- License State (1)
- NJ
- Taxonomy (1)
- Specialist · 174400000X
- License Number (2)
- 25MA07929700
- License State (2)
- NJ
- Taxonomy (2)
- Physical Medicine & Rehabilitation · 208100000X · Primary
- License Number (3)
- 25MA07929700
- License State (3)
- NJ
- Taxonomy (3)
- Physical Medicine & Rehabilitation, Hospice and Palliative Medicine · 2081H0002X
- License Number (4)
- 25MA07929700
- License State (4)
- NJ
- Taxonomy (4)
- Physical Medicine & Rehabilitation, Pain Medicine · 2081P2900X
- License Number (5)
- 25MA07929700
- License State (5)
- NJ
- Taxonomy (5)
- Physical Medicine & Rehabilitation, Sports Medicine · 2081S0010X
- License Number (6)
- 25MA07929700
- License State (6)
- NJ
- Taxonomy (6)
- Preventive Medicine, Sports Medicine · 2083S0010X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Medicine & Rehabilitation providers near Fort Lee, NJ
View all Physical Medicine & Rehabilitation providers in Fort Lee →- Dr. Hong S Pak, MDPhysical Medicine & Rehabilitation · NPI 1427077056
- Dr. Jong H Kim, MD, PHDPhysical Medicine & Rehabilitation · NPI 1871736256
- Hong Pak MD Medical Of Northern Nj LLCPhysical Medicine & Rehabilitation · NPI 1831658442
- Jong H Kim,md'S Pain & Rehab Center PCPhysical Medicine & Rehabilitation · NPI 1497155691
- New Jersey Physical Medicine & Rehabilitation Institute PAPhysical Medicine & Rehabilitation · NPI 1821210261
- Premier Spine And Sports Medicine, P.c.Physical Medicine & Rehabilitation · NPI 1811236672
Frequently Asked Questions
What is the NPI number of Dr. Mira Shin, MD?
The NPI number of Dr. Mira Shin, MD is 1659334498. It was assigned on April 11, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Mira Shin, MD?
Dr. Mira Shin, MD is registered under the primary taxonomy Physical Medicine & Rehabilitation (code 208100000X), licensed in NJ under license number 25MA07929700.
Where does Dr. Mira Shin, MD practice?
The practice location is 2050 Center Ave, Ste 425, Fort Lee, NJ 07024-4911. The office can be reached at 201-261-1000 (phone) or 201-261-1188 (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 1659334498 directly on the NPPES registry website.