MR. DONGWUK SHIN (NPI# 1083005151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083005151 |
| Entity Type | Individual |
| Full Name | MR. DONGWUK SHIN |
| Credential | M.D. |
| Practice Address |
130 Kinderkamack Rd. River Edge NJ 07661 |
| Mailing Address |
P.o. Box 247 River Edge NJ 07661 |
| Practice Telephone | 2015670633 |
| Practice Fax Number | 2015670633 |
| Mailing Telephone | 2015670633 |
| Mailing Fax Number | 2015670633 |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 25MA02974800 | NJ | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
25MA02974800 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
130 KINDERKAMACK RD. |
| City | RIVER EDGE |
| State | NJ |
| Zip Code | 07661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093057861 | Faina Ratner | Registered Nurse | 168 Oxford Ter, Apt # 1, River Edge, NJ 07661 | 2013-03-20 |
| 1700077674 | William Peter Kalosieh | Marriage & Family Therapist | 739 Summit Ave, River Edge, NJ 07661 | 2007-08-06 |
| 1124220959 | Angela's Angels Home Health Agency | Home Health | 912 Kinderkamack Road, Suite 6, River Edge, NJ 07661 | 2007-06-04 |
| 1780801258 | James A Ruggiero | Dentist | 110 Kinderkamack Road, River Edge, NJ 07661 | 2007-04-19 |
| 1174608178 | Jay Paul Granat | Psychologist | 1060 Main Street, Suite 307, River Edge, NJ 07661 | 2006-10-26 |
| 1912967464 | Theodore Falk | Allergy & Immunology | 63 Grand Ave, Ste 100, River Edge, NJ 07661 | 2006-03-27 |
| 1386149870 | Sharyn Zisa | Social Worker | 1060 Main St Ste 303, River Edge, NJ 07661 | 2018-03-27 |
| 1760654776 | Mark David Chapman | Social Worker | 117 Kinderkamack Rd, 2nd Floor, River Edge, NJ 07661 | 2008-03-31 |
| 1861697286 | Loren M Gelberg-goff | Social Worker | 200 Oak Ave, River Edge, NJ 07661-1028 | 2007-06-16 |
| 1063678670 | Joseph A Spinapolice | Family Medicine | 400 5th Ave, River Edge, NJ 07661-1101 | 2008-08-03 |
| Find all providers in zip 07661 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1386668622 | Edward L Hedlund | Internal Medicine | 268 Kinderkamack Rd, River Edge, NJ 07661-1825 | 2006-07-27 |
| 1316921364 | Cardiac Imaging for Life, PC | Internal Medicine | 130 Kinderkamack Rd, Suite 204, River Edge, NJ 07661-1939 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080196 | Shaker Medical Group-hospitalists LLC | Internal Medicine | 155 Polifly Rd Ste 301, Hackensack, NJ 07601-1749 | 2020-10-16 |
| 1770180135 | Shama Patel | Internal Medicine | 760 Bound Brook Rd Ste A, Dunellen, NJ 08812-1079 | 2020-10-07 |
| 1174130835 | Dmm Medical Consulting Group | Internal Medicine | 4551 Route 42 Ste 3, Turnersville, NJ 08012-1751 | 2020-09-28 |
| 1437764859 | Edward Laub Md LLC | Internal Medicine | 2053 Klockner Rd, Trenton, NJ 08690-3413 | 2020-09-11 |
| 1285245076 | Wecare Medical Associates LLC | Internal Medicine | 19 Holly St Ste 2, Cranford, NJ 07016-2158 | 2020-08-14 |
| 1851902803 | Acute Medical Staffing | Internal Medicine | 197 State Route 18 Ste 3000, East Brunswick, NJ 08816-1440 | 2020-08-13 |
| 1992313746 | Advocare, LLC | Internal Medicine | 750 Route 73 S Ste 201a, Marlton, NJ 08053-4133 | 2020-07-17 |
| 1295353126 | Navneet Kaur Goraya | Internal Medicine | 8 Netter Ct, Marlboro, NJ 07746-2055 | 2020-07-07 |
| 1699390203 | Mehul Patel | Internal Medicine | 560 Sullivan Ave, Englewood Cliffs, NJ 07632-3119 | 2020-06-09 |
| 1922622133 | Hope Hematology & Oncology Associates LLC | Internal Medicine | 1477 Oak Tree Rd, Iselin, NJ 08830-1625 | 2020-06-03 |
| Find all providers with the same taxonomy | ||||
| City | RIVER EDGE |
| Zip Code | 07661 |
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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.