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Contact Information

JIWOONG J SHIN, MD
30 PROSPECT AVE
HACKENSACK, NJ07601-1915
 Phone: 551-996-3400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JIWOONG J SHIN · (Male)

NPI Number 1366804817
Status Active
Credentials MD
Entity Individual
Enumeration date 03/23/2016
Last updated 03/31/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA11726700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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