Philip Shin DDS INC
Clinic/Center, Dental in Metuchen, NJ. Organization (NPI-2).
NPI number1982467163
StatusActive
Last updated in NPPESJan 31, 2024
Details
- NPI
- 1982467163
- Entity type
- Organization (NPI-2)
- Legal business name
- Philip Shin DDS INC
- Organization subpart
- No
- Enumeration date
- Jan 31, 2024
- Certification date
- Jan 31, 2024
- Last updated
- Jan 31, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
2 Bridge StMetuchen, NJ 08840-2273
Phone 607-351-4520
Mailing address
200 Crown Ct Apt 413Edgewater, NJ 07020-1138
Phone 607-351-4520
Authorized official
Philip Shin
Dentist
6073514520
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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