NPI 1942524293

Ying Shim, MD PA

Organisation Preferred Provider Organization Jersey City, NJ

Practice location

Address: 3363 Kennedy Blvd, Jersey City, NJ 07307-4225
Phone: (201) 659-3003
Fax: (201) 659-3594

Authorised official

Name: John Y Shim
Title: President
Phone: (201) 659-3003

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence MA25304 (NJ)

Other Preferred Provider Organization providers in New Jersey →

Registry record

NPI: 1942524293
Entity type: Organization
NPI issued: 16 Mar 2010
Record last updated: 16 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.