Individual
JIWOONG JOHN SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-3400
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
25MA11726700
NJ
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
297441-1
NY
Other
Enumeration date
03/23/2016
Last updated
03/31/2026
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