JUNG SAN SHEN (NPI# 1053411272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053411272 |
| Entity Type | Individual |
| Full Name | JUNG SAN SHEN |
| Credential | MD |
| Practice Address |
219 S Broad St Elizabeth NJ 07202-3453 |
| Practice Telephone | 9083525927 |
| Practice Fax Number | 9083526181 |
| Mailing Telephone | 9083525927 |
| Mailing Fax Number | 9083526181 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
25MA02834800 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 2112701 | 05 |
| Street Address |
219 S BROAD ST |
| City | ELIZABETH |
| State | NJ |
| Zip Code | 07202-3453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801892732 | James Z. Cinberg | Specialist | 219 S Broad St, Ste 3, Elizabeth, NJ 07202-3453 | 2005-06-24 |
| 1578072930 | Eye Center of Elizabeth LLC | Ophthalmology | 219 S Broad St, Elizabeth, NJ 07202-3453 | 2017-09-28 |
| 1881090413 | Spine and Pain Specialty Care LLC | Anesthesiology | 219 S Broad St, Elizabeth, NJ 07202-3453 | 2014-11-10 |
| 1093973174 | Edward Shen | Anesthesiology | 219 S Broad St, Suite 2, Elizabeth, NJ 07202-3453 | 2008-05-27 |
| 1891820965 | Bolanowski Surgical Group PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 219 S Broad St, Elizabeth, NJ 07202-3453 | 2007-02-22 |
| 1407846587 | Paul J Bolanowski | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 219 S Broad St, Elizabeth, NJ 07202-3453 | 2005-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205446572 | Hardik Ashwinkumar Fichadiya | Student in an Organized Health Care Education/Training Program | Trinitas Regional Medical Center, 225 Williamson St, Elizabeth, NJ 07202 | 2020-08-03 |
| 1659935484 | Community Access Unlimited Inc. | Community/Behavioral Health | 349 West Grand Street, Apartment 303, Elizabeth, NJ 07202 | 2019-04-26 |
| 1891279071 | Noreen Sidhom | Physical Therapist | 59-63 Elmora Avenue, Elizabeth, NJ 07202 | 2018-09-24 |
| 1578082889 | Jannette L Belen | Marriage & Family Therapist | 1102 South Elmora Ave, Elizabeth, NJ 07202 | 2017-09-18 |
| 1679000921 | Jefferson Park Ministries, Inc | Day Training, Developmentally Disabled Services | 70 West Grand St, Elizabeth, NJ 07202 | 2017-05-17 |
| 1912382557 | Community Access Unlimited | Community/Behavioral Health | 414 Magie Ave, Elizabeth, NJ 07202 | 2015-07-24 |
| 1538587845 | Remigiusz Soltys | Internal Medicine | 225 Williamson St., Trinitas Physician's Practice, LLC, Elizabeth, NJ 07202 | 2014-04-03 |
| 1447674270 | One Stop Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 216 Palmer St., Elizabeth, NJ 07202 | 2014-02-14 |
| 1306274337 | South Filmora Optical LLC | Eyewear Supplier (Equipment, not the service) | 1000 South Filmora Ave., Suite E2, Elizabeth, NJ 07202 | 2013-10-30 |
| 1881021129 | Julie Allison Sorrell | Social Worker | 80 West Grand Street, Elizabeth, NJ 07202 | 2013-10-01 |
| Find all providers in zip 07202 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386729325 | Adam J. Rowen | Internal Medicine | 98 W Jersey St, Elizabeth, NJ 07202-2108 | 2006-10-26 |
| 1629613021 | Elina Eksarko-bilbili | Internal Medicine | 240 Williamson St, Elizabeth, NJ 07202-3674 | 2019-11-10 |
| 1154422178 | Samuel Kahnowitz | Internal Medicine | 701 Newark Ave, Suite 201, Elizabeth, NJ 07208-3550 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609494319 | Intensivist Md Support LLC | Internal Medicine | 1931 Oak Tree Rd Ste 202, Edison, NJ 08820-2072 | 2020-07-09 |
| 1124598438 | North Jersey Pulmonary Associates | Internal Medicine | 1040 Main St # 3, Paterson, NJ 07503-2212 | 2018-11-29 |
| 1487147740 | Advanced Pulmonary Medicine, LLC | Internal Medicine | 721 North Beers St, Suite 2g & H, Holmdel, NJ 07733 | 2018-06-12 |
| 1720522303 | Middlesex Pulmonary Geriatric Associates LLC | Internal Medicine | 815 New Dover Rd, Edison, NJ 08820-1820 | 2016-12-15 |
| 1750758785 | Internal and Pulmonary Medicine Associates LLC | Internal Medicine | 27 Primrose Ln, Sparta, NJ 07871-3495 | 2015-08-25 |
| 1083096598 | Justin Pi Md Inc | Internal Medicine | 241 Colby Pl, Morganville, NJ 07751-1744 | 2015-06-19 |
| 1710305339 | Scott G. Ferrara | Internal Medicine | 160 Essex St Ste 103, Lodi, NJ 07644-2709 | 2014-04-01 |
| 1972920510 | Atlantis Health Care Group Inc | Internal Medicine | 14 Tindall Rd, Middletown, NJ 07748-2722 | 2014-03-20 |
| 1942633656 | Carolina Pinzon Escobar | Internal Medicine | 1 Springfield Ave Fl 3, Summit, NJ 07901-4055 | 2013-08-16 |
| 1255690822 | Medical Specialists of Northern Newjersey LLC | Internal Medicine | 54a Hazen Ct, Wayne, NJ 07470-3212 | 2012-05-16 |
| Find all providers with the same taxonomy | ||||
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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.