Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MIRA SHIN, M.D.
Active Sole ProprietorDR. MIRA SHIN, M.D. is a Physical Medicine & Rehabilitation healthcare provider located in FORT LEE, New Jersey. NPI 1659334498 is currently active in the NPPES registry. Verify at CMS.
Physical Medicine & Rehabilitation · FORT LEE, NJ
Registration Details
- NPI Number
- 1659334498
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 11, 2006 (20.160326393289 yrs)
- Last Updated
- Feb 5, 2016
- Licenses
-
25MA07929700 (NJ)25MA07929700 (NJ)25MA07929700 (NJ)25MA07929700 (NJ)25MA07929700 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2050 CENTER AVESTE 425FORT LEE, NJ, 070244911Browse NJ providers · Browse ZIP 07024
- Phone
- 2012611000
- Fax
- 2012611188
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
- Additional Specialty
- Physical Medicine & Rehabilitation
- Additional Specialty
- Hospice and Palliative Medicine (PM&R)
- Additional Specialty
- Pain Medicine (PM&R)
- Additional Specialty
- Sports Medicine (PM&R)
Other Physical Medicine & Rehabilitation Providers in FORT LEE, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. HONG SIK PAK | M.D. | 1427077056 |
| DR. JONG HYUN KIM | MD, PHD | 1871736256 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.