EUNJUNG SHIM DMD, MDS
NPI 1104930056
Dentist - Periodontics in Bayonne, NJ

Active since August 18, 2006
654 AVENUE C STE 202, BAYONNE, NJ 07002(201) 436-7777 Get Directions Write a Review

NPPES record last updated: October 5, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eunjung Shim Dmd, Mds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EUNJUNG SHIM DMD, MDS (NPI 1104930056) is an individual periodontics provider in Bayonne, New Jersey, licensed in New Jersey (057009) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1104930056
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameEUNJUNG SHIMCredential: DMD, MDS
Location Address654 AVENUE C STE 202Bayonne, NJ 07002-3899
Mailing Address127 Munsey RdEmerson, NJ 07630-1513 · (201) 927-7144
Sole ProprietorNo
Enumeration DateAugust 18, 2006
Last NPPES UpdateOctober 5, 2016
NPI 1104930056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in NJ · 057009
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentistTaxonomy 122300000X · License 22DI02329900 (NJ), 9363084 (NY)
654 AVENUE C STE 202, Bayonne, NJ 07002

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
654 AVENUE C STE 202
BAYONNE, NJ 07002
Dentist (Pediatric Dentistry)
654 AVENUE C STE 202
BAYONNE, NJ 07002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eunjung Shim's NPI number?

The NPI number for Eunjung Shim is 1104930056. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Eunjung Shim located?

Eunjung Shim practices at 654 Avenue C Ste 202, Bayonne, NJ 07002. The listed phone number is (201) 436-7777.

What is Eunjung Shim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Eunjung Shim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Eunjung Shim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eunjung Shim was last updated on October 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.