DR. JACOB SHIN


Address: 480 Red Hill Rd, Middletown, NJ 07748-3052
Phone: 8482256000

DR. JACOB SHIN (NPI# 1003221763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003221763
Entity Type Individual
Full Name DR. JACOB SHIN
Credential M.D.
Practice Address 480 Red Hill Rd
Middletown
NJ 07748-3052
Practice Telephone 8482256000
Mailing Telephone 8482256000
Enumeration Date 2014-06-21
Last Update Date 2020-02-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0001X Radiology
Specialization: Radiation Oncology
25MA10616000 NJ Allopathic & Osteopathic Physicians
Y 2085R0001X Radiology
Specialization: Radiation Oncology
299188 NY Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1275 York Ave, New York, NY 100656007 2126395868 2127943188
330 Mount Auburn St, Cambridge, MA 021385502 6174995160

Office Location

Street Address 480 RED HILL RD
City MIDDLETOWN
State NJ
Zip Code 07748-3052

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497877971 Jeanine Rose Doody Nurse Practitioner 480 Red Hill Rd, Middletown, NJ 07748-3052 2007-04-04
1427608348 Tatsiana Iannaccio Pharmacist 480 Red Hill Rd, Middletown, NJ 07748-3052 2019-09-12
1407320872 Msk Surgery Nj Otolaryngology 480 Red Hill Rd, Middletown, NJ 07748-3052 2019-01-18
1619474467 Adam Mohamed Pharmacist 480 Red Hill Rd, Middletown, NJ 07748-3052 2018-04-09
1528564689 Jacqueline Cheng Pharmacist 480 Red Hill Rd, Middletown, NJ 07748-3052 2018-04-05
1811498520 Karen Powell Nurse Practitioner 480 Red Hill Rd, Middletown, NJ 07748-3052 2018-02-27
1902326473 Lala Gerr Pharmacist 480 Red Hill Rd, Middletown, NJ 07748-3052 2017-06-26
1982148466 Memorial Sloan Kettering Cancer Center Pharmacy 480 Red Hill Rd, Suite 1136, Middletown, NJ 07748-3052 2016-12-19
1801340583 Wendy W Chan Pharmacist 480 Red Hill Rd, Middletown, NJ 07748-3052 2016-08-10
1922459163 Msk Monmouth Internal Medicine 480 Red Hill Rd, Middletown, NJ 07748-3052 2016-06-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245872472 Daniella Marie Siragusa Pharmacist 1200 Nj 35, Middletown, NJ 07748 2019-10-09
1548801194 Victoria Coglianese Dietitian, Registered 146 Hillyer Circle, Middletown, Nj, Usa, Middletown, NJ 07748 2019-10-04
1396276184 Crp Regal Pointe, LLC Assisted Living Facility 1800 Nj Highway 35 South, Middletown, NJ 07748 2017-03-23
1780131284 Jocelyn Elizabeth Marrone Pharmacist 1447 State Highway 35, Middletown, NJ 07748 2016-09-01
1346796570 Michelle Caravella Dietitian, Registered 113 Lynch Rd, Middletown, NJ 07748 2016-08-28
1922553528 Jamie Manzo Physical Therapist 37 Kanes Ln, Middletown, NJ 07748 2016-08-24
1245697432 Middletown Oral Surgery Associates, P.C. Oral & Maxillofacial Surgery 21 New Monmouth Road, Middletown, NJ 07748 2016-01-20
1295171379 Taryn M Buffolino Counselor 41 Tall Tree Rd, Middletown, NJ 07748 2013-05-16
1477825925 Min Jin Kim Dentist 2 Apple Farm Road, Middletown, NJ 07748 2012-01-30
1295018562 Kavita Patel Pharmacist 271 Linden Avenue, North Middletown, NJ 07748 2011-09-23
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902007651 Ryan D. Steinmetz Radiology 501 Atrium Dr Ste 100, Middletown, OH 45005-5165 2007-05-30
1427163815 Allen B Silberstein Radiology 536 Saybrook Road, Middlesex Hospital Cancer Center, Middletown, CT 06457 2006-08-19
1821048406 Middletown Cancer Center Radiology 102 Mcknight Dr, Middletown, OH 45044-4800 2006-05-12
1295170058 David Marshall Guttmann Radiology 480 Red Hill Rd, Middletown, NJ 07748 2013-05-07
1386915122 Yao Yu Radiology 480 Red Hill Rd, Middletown, NJ 07748 2012-01-25
1891084380 Steven Oh Radiology 536 Saybrook Rd, Middlesex Hospital Cancer Center, Middletown, CT 06457 2011-04-05
1497068043 Thomas R. Eanelli Radiation Oncology Services, Pllc Radiology 75 Crystal Run Rd, Middletown, NY 10941-7000 2010-07-23
1720193113 Joseph Burt Weissberg Radiology 536 Saybrook Road, Middlesex Hospital Cancer Center, Middletown, CT 06457 2006-08-19
1922052315 Catskill Radiation Oncology Consultants, Pllc Radiology 60 Prospect Ave, Middletown, NY 10940-4133 2006-05-20
1407800915 Thomas Eanelli Radiology 707 E Main St, Middletown, NY 10940-2650 2006-05-20
Find all providers in MIDDLETOWN

Competitor

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City MIDDLETOWN
Zip Code 07748

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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