IndividualActive
Jiwoong Shin, M.D.
NPI 1366804817 · Pediatric Emergency Medicine (Emergency Medicine) Physician · Hackensack, NJ
Provider details
- NPI number
- 1366804817
- Entity type
- Individual
- Primary specialty
- Pediatric Emergency Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA11726700 (NJ)
Specialties & taxonomies
- Pediatric Emergency Medicine (Emergency Medicine) PhysicianPrimary207PP0204XLicense 25MA11726700 (NJ)
Allopathic & Osteopathic Physicians
Practice location
30 Prospect Ave
Hackensack, NJ 07601-1915
Phone: (551) 996-3400
Approximate (ZIP-level) locationGet directions
Mailing address
30 Prospect Ave
Hackensack, NJ 07601-1915
Registry dates
- Enumerated
- 2016-03-23
- Last updated
- 2026-03-31
- Certified
- 2026-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.