Jiwoong John Shin, MD - Medicare Pediatric Medicine in Hackensack, NJ

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Jiwoong John Shin, MD is a medicare enrolled "Emergency Medicine - Pediatric Emergency Medicine" physician in Hackensack, New Jersey. He graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Hackensack Meridian Health Medical Group - Specialty Care Pc and his current practice location is 30 Prospect Ave, Hackensack, New Jersey. You can reach out to his office (for appointments etc.) via phone at (551) 996-3400.

Jiwoong John Shin is licensed to practice in New Jersey (license number 25MA11726700) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1366804817.

Contact Information

Jiwoong John Shin, MD
30 Prospect Ave,
Hackensack, NJ 07601-1915
(551) 996-3400
Not Available

Map and Direction




Physician's Profile

Full NameJiwoong John Shin
GenderMale
SpecialityPediatric Medicine
Experience10 Years
Location30 Prospect Ave, Hackensack, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jiwoong John Shin graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1366804817
  • Provider Enumeration Date: 03/23/2016
  • Last Update Date: 03/31/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8224372842
  • Enrollment ID: I20240226000415

Medical Identifiers

Medical identifiers for Jiwoong John Shin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366804817NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PP0204XEmergency Medicine - Pediatric Emergency Medicine 25MA11726700 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hackensack Meridian Health Medical Group - Specialty Care Pc91330325191885

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jiwoong John Shin allows following entities to bill medicare on his behalf.
Entity NameHackensack Meridian Health Medical Group - Specialty Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215989249
PECOS PAC ID: 9133032519
Enrollment ID: O20031111000524

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jiwoong John Shin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jiwoong John Shin, MD
30 Prospect Ave,
Hackensack, NJ 07601-1915

Ph: () -		Jiwoong John Shin, MD
30 Prospect Ave,
Hackensack, NJ 07601-1915

Ph: (551) 996-3400

Reviews and Comments


Emergency Medicine Doctors in Hackensack, NJ

Dr. Paarth Raj, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 30 Prospect Ave, Hackensack, NJ 07601
Phone: 201-996-2000    
Jose Deschamps,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 30 Prospect Ave, Hackensack, NJ 07601
Phone: 551-996-2000    
Michael Quinn,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 30 Prospect Ave, Hackensack, NJ 07601
Phone: 551-996-2000    
Christine Fernandez, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 30 Prospect Ave, Etd, Hackensack, NJ 07601
Phone: 201-996-4614    Fax: 201-968-1866
Dr. Leah Raguindin, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 30 Prospect Ave, Pediatric Emergency Dept, Hackensack, NJ 07601
Phone: 201-996-5430    
Daniel Bautista, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 30 Prospect Ave, Hackensack, NJ 07601
Phone: 551-996-2000    
Dr. Malone Vincent Hill Iii, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 30 Prospect Ave, Hackensack, NJ 07601
Phone: 551-996-2331    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.