Active NPIIndividual providerSole proprietor

Dr. Jong T Shin, DO

Family Medicine, Sports Medicine in Cherry Hill, New Jersey

NPI Number1992966717
Practice location
951 Haddonfield RD # 3B, Cherry Hill, NJ 08002-2783
Fax
856-324-5958
Last updated
August 13, 2020

Jong T Shin is a Family Medicine, Sports Medicine based in Cherry Hill, NJ. Jong T Shin practices in Cherry Hill, NJ and has the professional credentials of DO. The NPI Number for Jong T Shin is 1992966717 and holds a License No. OS013428 (PA). The current practice location address for Jong T Shin is 951 Haddonfield RD # 3B, Cherry Hill, NJ 08002-2783 and can be reached out via phone at 856-270-6800 and via fax at 856-324-5958.

Provider Profile Details

NPI Number
1992966717
Provider Name
Jong T Shin
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
951 Haddonfield RD # 3B, Cherry Hill, NJ 08002-2783
Phone Number
856-270-6800
Fax Number
856-324-5958
Primary Taxonomy
Family Medicine, Sports Medicine · 207QS0010X
Sole Proprietor
Yes
Provider Enumeration Date
June 24, 2008
Last Update Date
August 13, 2020
Certification Date
August 13, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
951 Haddonfield RD # 3B
Cherry Hill, NJ 08002-2783
Zip
08002-2783
Phone Number
856-270-6800
Fax Number
856-324-5958
Cherry Hill, NJ 08002Get directions →

Provider Business Mailing Address Details

Address
951 Haddonfield RD Bldg A13
Cherry Hill, NJ 08002-2783
City
Cherry Hill
State
NJ
Zip
08002-2783
Phone Number
856-270-6800
Fax Number
856-324-5958

License Information

License Number (1)
OS013428
License State (1)
PA
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
OS013428
License State (2)
PA
Taxonomy (2)
Family Medicine, Sports Medicine · 207QS0010X
License Number (3)
25MB08427400
License State (3)
NJ
Taxonomy (3)
Family Medicine, Sports Medicine · 207QS0010X · 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 Dr. Jong T Shin, DO?

The NPI number of Dr. Jong T Shin, DO is 1992966717. It was assigned on June 24, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Jong T Shin, DO?

Dr. Jong T Shin, DO is registered under the primary taxonomy Family Medicine, Sports Medicine (code 207QS0010X), licensed in PA under license number OS013428.

Where does Dr. Jong T Shin, DO practice?

The practice location is 951 Haddonfield RD # 3B, Cherry Hill, NJ 08002-2783. The office can be reached at 856-270-6800 (phone) or 856-324-5958 (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 1992966717 directly on the NPPES registry website.

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