Shim, John Y
Shim, John Y is an individual health care provider with primary practice located at 3363 Kennedy Boulevard , Jersey City NJ 07307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Shim, John Y can be contacted via phone (201) 659-3003.Contact Information
Primary practice address
3363 Kennedy Boulevard
Jersey City NJ 07307
Phone: (201) 659-3003
Fax: (201) 659-3594
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MA25304 | New Jersey |
Profile Details
| NPI number | 1538236187 |
|---|---|
| LBN Legal business name | Shim, John Y |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538236187 | NPPES |
| New Jersey | MEDICAID | 2853302 |
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