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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
1275 York Ave, New York, NY 100656007 | 2126395868 | 2127943188 |
330 Mount Auburn St, Cambridge, MA 021385502 | 6174995160 |
Street Address |
480 RED HILL RD |
City | MIDDLETOWN |
State | NJ |
Zip Code | 07748-3052 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 07748 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
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 |
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 |
City | MIDDLETOWN |
Zip Code | 07748 |
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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.