IndividualActive
Jicheol Shin, D.M.D.
NPI 1043490956 · Dentist · Englewood Cliffs, NJ
Jicheol Shin, D.M.D. is a Dentist provider in Englewood Cliffs, NJ (NPI 1043490956).
Provider details
- NPI number
- 1043490956
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 22DI02357800 (NJ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
460 Sylvan Ave # 1f
Englewood Cliffs, NJ 07632-2919
Phone: (201) 461-0002
Fax: (201) 816-1144
Street-level locationGet directions
Mailing address
108 Lakeview Dr
Old Tappan, NJ 07675-7096
Registry dates
- Enumerated
- 2007-11-07
- Last updated
- 2008-02-29
Frequently asked questions
- What is Jicheol Shin's NPI number?
- Jicheol Shin's National Provider Identifier (NPI) is 1043490956, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jicheol Shin's specialty?
- Jicheol Shin is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jicheol Shin located?
- Jicheol Shin's practice location on file with NPPES is 460 Sylvan Ave # 1f, Englewood Cliffs, NJ 07632-2919.
- What is Jicheol Shin's phone number?
- The practice phone number listed in the NPPES registry for Jicheol Shin is (201) 461-0002.
- Is Jicheol Shin's NPI active?
- Yes — Jicheol Shin's NPI (1043490956) is active in the NPPES registry as of the last update on 2008-02-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.