EUN H SHEEN MD
NPI 1255316675
Allergy & Immunology in Fort Lee, NJ

NPI Status: Active since December 08, 2005

Contact Information

158 LINWOOD PLZ STE 319
FORT LEE, NJ
ZIP 07024
Phone: (201) 567-0404

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  • Individual
  • Female
  • Years of Experience 51
  • Allergy & Immunology
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About EUN SHEEN

This page provides the complete NPI Profile along with additional information for Eun Sheen, a provider established in Fort Lee, New Jersey with a medical specialization in Allergy & Immunology and more than 51 years of experience. The healthcare provider is registered in the NPI registry with number 1255316675 assigned on December 2005. The practitioner's primary taxonomy code is 207K00000X with license number 25MA03956200 (NJ). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1255316675
Provider Name
EUN H SHEEN MD
Gender
Female
Entity Type
Individual
Location Address
158 LINWOOD PLZ STE 319 FORT LEE, NJ 07024
Location Phone
(201) 567-0404
Mailing Address
158 LINWOOD PLZ STE 319 FORT LEE, NJ 07024
Mailing Phone
(201) 567-0404
Mailing Fax
Medical School Name
OTHER
Graduation Year
1975
Is Sole Proprietor?
Yes
Enumeration Date
12-08-2005
Last Update Date
12-12-2022
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Location Map

Secondary Locations

  • 1409 2nd Ave
    New York, NY 10021
    (201) 567-0404

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Allergy & Immunology

Taxonomy Code
207K00000X
Type
Allopathic & Osteopathic Physicians
License No.
25MA03956200
License State
NJ
Taxonomy Description
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3469257OTHER (01)NJAETNA
6N8111OTHER (01)NJEMPIRE BC
443282OTHER (01)NJWELLCARE
2415310000OTHER (01)NJAMERIHEALTH
4902844OTHER (01)NJCIGNA
P3239780OTHER (01)NJOXFORD
3428296OTHER (01)NJAETNA
1255316675OTHER (01)NJU.S. FAMILY HEALTH
2695794OTHER (01)G.H.I. EMBLEM HEALTH
3700704MEDICAID (05)NJ 
60018394OTHER (01)NJHORIZON N.J. HEALTH
0115992OTHER (01)NJAMERIGROUP
1255316675OTHER (01)NJTRICARE
3469257OTHER (01)NJAETNA HMO
1255316675OTHER (01)NJCOVENTRY HEALTH-FIRST HEALTH

Medicare Participation & PECOS Enrollment Status

Eun Sheen is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Eun Sheen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7719947696

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20041014000926

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 40 times for 23 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 17 times for 17 patients

Test for allergy using allergenic extract

An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.

This service was performed 968 times for 14 patients

Test for allergy using combination of methods with drug or biological

An allergy test with a drug or biological involves multiple methods. Skin tests may be performed where small amounts of allergens are introduced to the skin. Blood tests measure your immune system's response to specific allergens. These tests help identify what substances you're allergic to.

This service was performed 30 times for 13 patients

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1255316675, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 3 → 6 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 0 + 5 + 6 + 1 + 1 + 2 + 6 + 1 + 4 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1255316675.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Physician Assistant
158 LINWOOD PLZ STE 319
FORT LEE, NJ 07024

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255316675, enumerated as an "individual" on December 08, 2005.

The provider is located at 158 LINWOOD PLZ STE 319 FORT LEE, NJ 07024 and the phone number is (201) 567-0404.

Allergy & Immunology with taxonomy code 207K00000X.

The provider might be accepting Accepts: Aetna, Medicare, Medicaid, Wellcare, AmeriHealth,. Please consult your insurance carrier or call the provider to verify.