| David Shin, | |
|
2175 Lemoine Ave Fl 6, Fort Lee, NJ 07024-6008 | |
| (866) 722-3338 | |
| Not Available |
| Full Name | David Shin |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 2175 Lemoine Ave Fl 6, Fort Lee, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366112526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (NU) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Metro Dermatology Of Nj,pa | 5698737021 | 5 |
| Metro Dermatology Of Ny,p.c. | 3779761705 | 18 |
| Entity Name | Metro Dermatology of Nj,pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437353372 PECOS PAC ID: 5698737021 Enrollment ID: O20041028000754 |
| Mailing Address | Practice Location Address |
|---|---|
| David Shin, 2175 Lemoine Ave Fl 6, Fort Lee, NJ 07024-6008 Ph: (201) 886-9000 | David Shin, 2175 Lemoine Ave Fl 6, Fort Lee, NJ 07024-6008 Ph: (866) 722-3338 |
Ra La Huh, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2175 Lemoine Ave Fl 6, Fort Lee, NJ 07024 Phone: 201-886-9000 |
Eugene Park, L.AC, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 458 West St, Fort Lee, NJ 07024 Phone: 201-474-7700 |
Maha Al-yousefy, Physician Assistant Medicare: Medicare Enrolled Practice Location: 458 West St, Fort Lee, NJ 07024 Phone: 201-474-7700 |
David D Han, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2011 Lemoine Ave Ste 201, Fort Lee, NJ 07024 Phone: 201-414-5565 Fax: 201-328-9821 |
Ms. Vanesa Kodra, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1590 Anderson Ave Apt 2j, Fort Lee, NJ 07024 Phone: 201-247-5226 |