Jiwoong John Shin, M.D.
Pediatric Emergency Medicine (Emergency Medicine) Physician · Hackensack, NJ
Jiwoong John Shin, M.D. is a pediatric emergency medicine (emergency medicine) physician with a practice address in Hackensack, New Jersey, and NPI 1366804817, issued on Mar 23, 2016. Check the license (New Jersey 25MA11726700, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Jiwoong John Shin
- Credential
- M.D.
- Primary taxonomy
- Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X
- License number
- 25MA11726700 NJ
Self-reported in NPPES; status is on the state search - Practice location
- 30 Prospect Ave, Hackensack, NJ 07601
- Phone
- (551) 996-3400
- Enumerated
- Mar 23, 2016
- Record last updated
- Mar 31, 2026
- Medicare enrollment
- Enrolled (PECOS I20240226000415); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest pediatric emergency medicine (emergency medicine) physician records → All 22 in New Jersey → Look up another NPI →
Also registered at 30 Prospect Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Gloria Abbey, MDStudent in an Organized Health Care Education/Training Program1184374647
- James AbbottStudent in an Organized Health Care Education/Training Program1568307957
- Mohammad Abboud, MDEmergency Medicine Physician1881187359
- Adham Abdelhameed, MDStudent in an Organized Health Care Education/Training Program1891599775
- Ahmad Abid, MDStudent in an Organized Health Care Education/Training Program1982406294
- Ashley AbrahamDentist1740975135
Verify Jiwoong John Shin in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
Search for license 25MA11726700Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Hackensack Meridian Health Medical Group - Specialty Care PCHackensack, NJ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jiwoong John Shin among 22 pediatric emergency medicine (emergency medicine) physician records in New Jersey
Jiwoong John Shin, M.D. is one of 22 pediatric emergency medicine (emergency medicine) physician records with a practice address in New Jersey. 59% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 77% of them.
- NPI issued2016 · 77% of these records are older, 14% newer
- In a Medicare fileYes · 59% of these records are
- In the CMS Doctors and Clinicians fileYes · 23% of these records are
- Record last updated2026 · 55% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207PP0204X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pediatric Emergency Medicine (Emergency Medicine) Physician providers in New Jersey
There are 22 pediatric emergency medicine (emergency medicine) physician records in New Jersey.
All 22 in New Jersey → Every provider in Hackensack → Pediatric Emergency Medicine (Emergency Medicine) Physician nationwide →
The 8 pediatric emergency medicine (emergency medicine) physician records with the nearest ZIP codes
- Phillip Devadan, M.D.Hackensack, NJ 076011740335892
- McDonald Srinivasan, M.D.Englewood, NJ 076311659415834
- Maciej Sadowski, M.D.Paterson, NJ 075031790216059
- David Bergamo, MDNeptune Township, NJ 077531689029548
- Gloria Lax, MDSummit, NJ 079011922042787
- Sabina Kriss, M.D.Morristown, NJ 079601174699201
- Ursula Laskowski-Kos, MDMorristown, NJ 079601417188772
- Mihir Vyas, D.OMorristown, NJ 079601235422171
Common questions
What is Jiwoong John Shin, M.D.'s NPI number?
Jiwoong John Shin, M.D.'s National Provider Identifier (NPI) is 1366804817, issued on Mar 23, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Jiwoong John Shin, M.D. located?
The NPPES record lists a practice address at 30 Prospect Ave, Hackensack, NJ, 07601. Phone: (551) 996-3400. Providers update this record themselves, so call before visiting.
How can I verify Jiwoong John Shin, M.D.'s license?
NPPES lists New Jersey license number 25MA11726700, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.