Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. GRACE EUN HAE SHIN DO
NPI 1124714928
Internal Medicine in Hackensack, NJ

Q: What is Grace Shin's NPI number?

The NPI number for Grace Shin is 1124714928. It was assigned to this individual provider in the NPPES registry on April 13, 2023.

Q: What is Grace Shin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Grace Shin was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.

Active since April 13, 2023PECOS Enrolled

30 PROSPECT AVE, HACKENSACK, NJ 07601(551) 996-9500 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 6, 2026, Apr 13, 2023 (2 updates tracked since 2023).

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About Dr. Grace Eun Hae Shin Do NPPES

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

DR. GRACE EUN HAE SHIN DO (NPI 1124714928) is an individual internal medicine provider in Hackensack, New Jersey, licensed in California (20A24995) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Touro Un Col Of Osteopathic Medicine, New York (2023).

NPPES Registry Identity

NPI1124714928

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. GRACE EUN HAE SHINCredential: DO

Location Address30 PROSPECT AVEHackensack, NJ 07601-1915

Mailing Address30 Prospect AveHackensack, NJ 07601-1915

Phone(551) 996-9500

Sole ProprietorYes

Medical School CMSTouro Un Col Of Osteopathic Medicine, New YorkGraduated 2023

Enumeration DateApril 13, 2023

Last NPPES UpdateOctober 6, 20262 updates tracked since enumeration

NPPES CertifiedOctober 6, 2026

✔ NPI 1124714928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · 20A24995

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License D8797893 (CA)

30 PROSPECT AVE, Hackensack, NJ 07601

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Grace Eun Hae Shin Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517430267

PECOS Enrollment IDI20260624001544

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. JESUS RAFAEL ALVAREZ-PEREZ M.D.

Obstetrics & Gynecology (Maternal & Fetal Medicine)