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YING SHIM MD PA NPI 1942524293


NPI Information

NPI: 1942524293
Provider Name: YING SHIM, MD PA
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
3363 KENNEDY BLVD
JERSEY CITY, NJ
ZIP 07307
Phone: (201) 659-3003
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YING SHIM, MD PA is a preferred provider organization in Jersey City, NJ. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. YING SHIM, MD PA NPI is 1942524293. The provider is registered as an organization entity type.

The provider's business location address is:

3363 KENNEDY BLVD
JERSEY CITY, NJ
ZIP 07307-225
Phone: (201) 659-3003
Fax: (201) 659-3594

The provider's authorized official is John Y Shim .
The authorized official title is President and has the following contact phone number (201) 659-3003.

The enumeration date for this NPI number is 3/16/2010 and was last updated on 3/16/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider OrganizationMA25304NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C12409MEDICARE PINNEW JERSEY
21D2853302MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.