Active NPIIndividual providerSole proprietor

Yeon A Shim, DPM

Healthcare Provider in Roselle, New Jersey

NPI Number1679504302
Practice location
1305 Saint George Ave, Roselle, NJ 07203-2806
Fax
908-620-1040
Last updated
January 2, 2016

Yeon A Shim is a Healthcare Provider based in Roselle, NJ. Yeon A Shim practices in Roselle, NJ and has the professional credentials of DPM. The NPI Number for Yeon A Shim is 1679504302 and holds a License No. MD002426 (NJ). The current practice location address for Yeon A Shim is 1305 Saint George Ave, Roselle, NJ 07203-2806 and can be reached out via phone at 908-620-3200 and via fax at 908-620-1040.

Provider Profile Details

NPI Number
1679504302
Provider Name
Yeon A Shim
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
1305 Saint George Ave, Roselle, NJ 07203-2806
Phone Number
908-620-3200
Fax Number
908-620-1040
Primary Taxonomy
Healthcare Provider · 213ES0131X
Sole Proprietor
Yes
Provider Enumeration Date
July 5, 2006
Last Update Date
January 2, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1305 Saint George Ave
Roselle, NJ 07203-2806
Zip
07203-2806
Phone Number
908-620-3200
Fax Number
908-620-1040
Roselle, NJ 07203Get directions →

Provider Business Mailing Address Details

Address
776 E 3RD Ave
Ste 2
Roselle, NJ 07203-1697
City
Roselle
State
NJ
Zip
07203-1697
Phone Number
908-620-3200
Fax Number
908-620-1040

License Information

License Number
MD002426
License State
NJ
Taxonomy
· 213ES0131X · 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 Yeon A Shim, DPM?

The NPI number of Yeon A Shim, DPM is 1679504302. It was assigned on July 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Yeon A Shim, DPM?

Yeon A Shim, DPM is registered under the primary taxonomy Healthcare Provider (code 213ES0131X), licensed in NJ under license number MD002426.

Where does Yeon A Shim, DPM practice?

The practice location is 1305 Saint George Ave, Roselle, NJ 07203-2806. The office can be reached at 908-620-3200 (phone) or 908-620-1040 (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 1679504302 directly on the NPPES registry website.

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