Mira Shin in Fort Lee - Hospice And Palliative Medicine

Mira Shin - NPI 1659334498

Mira Shin is a Hospice And Palliative Medicine in Fort Lee, New Jersey. Mira Shin practices all healthcare services and medical treatments related to Hospice And Palliative Medicine. The NPI Number for Mira Shin is 1659334498. The last update date is 2016-02-05.

Mira Shin's current location address is 2050 Center Ave, Fort Lee, New Jersey. You can contact this provider via phone number 2012611000 and fax number 2012611188. The mailing address for Mira Shin is 2050 Center Ave, Fort Lee, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Mira Shin
Address 2050 Center Ave, Fort Lee, New Jersey
Phone Number 2012611000
Fax Number 2012611188
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1659334498
Provider Enumeration Date 2006-04-11
Last Updated Date 2016-02-05

Provider Mailing Address Detail

Address 2050 Center Ave
City Fort Lee
State New Jersey (NJ)
Post Code 70244911
Phone Number 2012611000
Fax Number 2012611188

Provider's Primary Taxonomy Detail

Speciality Hospice And Palliative Medicine
Taxonomy 2081H0002X
Licence No 25MA07929700
Definition:
A physical medicine and rehabilitation physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care t

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9404330 NJ PHCS (PRIVATE HEALTHCARE SYSTE
20-8831104 NJ TAX ID #
20-8831104 NJ MULTIPLAN
7687754 NJ AETNA PPO #
P3635893 NJ OXFORD #
20-8831104 NJ FAMILY CHOICE HEALTH
3K6327 NJ HEALTHNET (PHS)
161568 NJ GHI
20-8831104 NJ CONSUMER HEALTH NETWORK(CHN)
3696X1 NY EMPIRE BLUECROSSBLUESHIELD NY

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FAQs about Mira Shin

What is the unique 10-digit identification code issued to Mira Shin by the Centers for Medicare & Medicaid Services?

The Mira Shin has been assigned the NPI (National Provider Identifier) 1659334498 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Mira Shin is located?

The Mira Shin is situated at the following address: 2050 Center Ave, Fort Lee, NJ, 70244911.

What is Mira Shin's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mira Shin is Hospice And Palliative Medicine, and the corresponding taxonomy classification code for this specialized field is 2081H0002X.

On what date did the Centers for Medicare & Medicaid Services issue the 1659334498 to Mira Shin?

The Mira Shin received its 1659334498 assignment from the Centers for Medicare & Medicaid Services on 2006-04-11.

As of what date were the Mira Shin's details last updated?

The information pertaining to the Mira Shin, including its address, specialty, and other details, was most recently updated on 2016-02-05.

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