Jae Yoon Shin Dpm P.C.

LBN: Jae Yoon Shin Dpm P.C.
Jae Yoon Shin Dpm P.C. is an health care organization with primary practice located at 283 Leonard Pl , Paramus NJ 07652-4517. The organization recently has only one registered license in Ambulatory Health Care Facilities / Podiatric, which is considered as the primary health care specialty. Jae Yoon Shin Dpm P.C. can be contacted via phone (267) 269-7127, or through Shin, Jae Yoon via phone (267) 269-7127.

Contact Information

Primary practice address
283 Leonard Pl Paramus NJ 07652-4517
Phone: (267) 269-7127
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shin, Jae Yoon Doctor of Podiatric Medicine (DPM)
Phone: (267) 269-7127

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Podiatric 261QP1100X

Profile Details

NPI number 1760135636
LBN Legal business name Jae Yoon Shin Dpm P.C.
DBA Doing business as
Authorized official Shin, Jae Yoon Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2022
Last updated Feb 1st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760135636 NPPES
Georgia Other POD001311 PODIATRIC LICENSE
Georgia Other 25MD00365800 PODIATRIC LICENSE
Georgia Other N007210-01 PODIATRIC LICENSE

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