Ying Shim, Md Pa

LBN: Ying Shim, Md Pa
Ying Shim, Md Pa is an health care organization with primary practice located at 3363 Kennedy Blvd , Jersey City NJ 07307-4225. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Ying Shim, Md Pa can be contacted via phone (201) 659-3003, or through Shim, John Y via phone (201) 659-3003.

Contact Information

Primary practice address
3363 Kennedy Blvd Jersey City NJ 07307-4225
Phone: (201) 659-3003
Fax: (201) 659-3594
Website:
Map and Directions
Authorized official contact:
Name: Shim, John Y Doctor of Medicine (MD)
Phone: (201) 659-3003

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X MA25304 New Jersey

Profile Details

NPI number 1942524293
LBN Legal business name Ying Shim, Md Pa
DBA Doing business as
Authorized official Shim, John Y Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2010
Last updated Mar 16th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942524293 NPPES
New Jersey MEDICAID 1D2853302

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