Ying Shim, MD PA
Preferred Provider Organization in Jersey City, New Jersey
1942524293- Practice location
- 3363 Kennedy Blvd, Jersey City, NJ 07307-4225
- Phone
- 201-659-3003
- Fax
- 201-659-3594
- Last updated
- March 16, 2010
Ying Shim, MD PA is a healthcare organization based in Jersey City, NJ. Ying Shim, MD PA practices in Jersey City, NJ. The NPI Number for Ying Shim, MD PA is 1942524293 and holds a License No. MA25304 (NJ). The current practice location address for Ying Shim, MD PA is 3363 Kennedy Blvd, Jersey City, NJ 07307-4225 and can be reached out via phone at 201-659-3003 and via fax at 201-659-3594.
Provider Profile Details
- NPI Number
- 1942524293
- Provider Name
- Ying Shim, MD PA
- Provider Entity Type
- Organization
- Address
- 3363 Kennedy Blvd, Jersey City, NJ 07307-4225
- Phone Number
- 201-659-3003
- Fax Number
- 201-659-3594
- Primary Taxonomy
- Preferred Provider Organization · 305R00000X
- Organization Subpart
- No
- Authorized Official
- Dr. John Y Shim, MD · President · 201-659-3003
- Provider Enumeration Date
- March 16, 2010
- Last Update Date
- March 16, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3363 Kennedy Blvd
Jersey City, NJ 07307-4225 - City
- Jersey City
- State
- New Jersey
- Zip
- 07307-4225
- Phone Number
- 201-659-3003
- Fax Number
- 201-659-3594
Provider Business Mailing Address Details
- Address
- 3363 Kennedy Blvd
Jersey City, NJ 07307-4225 - City
- Jersey City
- State
- NJ
- Zip
- 07307-4225
- Phone Number
- 201-659-3003
- Fax Number
- 201-659-3594
License Information
- License Number
- MA25304
- License State
- NJ
- Taxonomy
- Preferred Provider Organization · 305R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Ying Shim, MD PA?
The NPI number of Ying Shim, MD PA is 1942524293. It was assigned on March 16, 2010 and is currently active in the NPPES registry.
What is the specialty of Ying Shim, MD PA?
Ying Shim, MD PA is registered under the primary taxonomy Preferred Provider Organization (code 305R00000X), licensed in NJ under license number MA25304.
Where does Ying Shim, MD PA practice?
The practice location is 3363 Kennedy Blvd, Jersey City, NJ 07307-4225. The office can be reached at 201-659-3003 (phone) or 201-659-3594 (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 1942524293 directly on the NPPES registry website.