| Roselle Podiatry Group, Pa | |
|
776 E 3rd Ave, Roselle, NJ 07203-1698 | |
| (908) 620-3200 | |
| (908) 620-1040 |
| Full Name | Roselle Podiatry Group, Pa |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot Surgery |
| Location | 776 E 3rd Ave, Roselle, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003139031 | NPI | - | NPPES |
| 4702770001 | Other | NJ | MEDICARE DME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | MD002426 (New Jersey) | Primary |
| Provider Name | Yeon A Shim |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679504302 PECOS PAC ID: 1153456934 Enrollment ID: I20100318000379 |
| Mailing Address | Practice Location Address |
|---|---|
| Roselle Podiatry Group, Pa 776 E 3rd Ave, Roselle, NJ 07203-1698 Ph: (908) 620-3200 | Roselle Podiatry Group, Pa 776 E 3rd Ave, Roselle, NJ 07203-1698 Ph: (908) 620-3200 |
Lloyd Harris, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2305 Wood Ave, Roselle, NJ 07203 Phone: 908-241-1727 Fax: 908-241-0053 | |
Yeon A Shim, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1305 Saint George Ave, Roselle, NJ 07203 Phone: 908-620-3200 Fax: 908-620-1040 | |
Je Medicine & Aesthetics Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2415 Parkview Dr, Roselle, NJ 07203 Phone: 856-745-5758 |