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DR BO SHIN, LLC
NPI 1336542745
Podiatrist in Palisades Park, NJ

Active since September 30, 2014
7 BROAD AVE STE 203, PALISADES PARK, NJ 07650(201) 705-7885(888) 866-7055 Get Directions Write a Review

NPPES record last updated: May 7, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr Bo Shin, Llc NPPES

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

DR BO SHIN, LLC (NPI 1336542745) is a healthcare organization registered as a podiatrist in Palisades Park, New Jersey and active in the NPI registry since September 2014. The organization lists Bo Kyong Shin, Physician, as its authorized official.

NPPES Registry Identity

NPI1336542745
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameDR BO SHIN, LLC
Location Address7 BROAD AVE STE 203Palisades Park, NJ 07650-1886
Mailing Address3113 Crest LnFort Lee, NJ 07024-2229 · (201) 705-7885 · Fax (888) 866-7055
Phone(201) 705-7885
Fax(888) 866-7055
Organization SubpartNo
Authorized OfficialBo Kyong ShinPhysician · (404) 825-8099
Enumeration DateSeptember 30, 2014
Last NPPES UpdateMay 7, 2018
✔ NPI 1336542745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in NJ · 25MD00308100
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
7 BROAD AVE STE 203, Palisades Park, NJ 07650
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

MRS. EUNSOL CHO LEE APN
Nurse Practitioner (Adult Health)
7 BROAD AVE STE 203
PALISADES PARK, NJ 07650
Bergen County (201) 941-2486
HYESIM MOON NURSE PRACTITIONER
Nurse Practitioner (Family)
7 BROAD AVE STE 203
PALISADES PARK, NJ 07650
Bergen County (201) 941-2486

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 Dr Bo Shin, LLC's NPI number?

The NPI number for Dr Bo Shin, LLC is 1336542745. It was assigned to this organization in the NPPES registry on September 30, 2014.

Where is Dr Bo Shin, LLC located?

Dr Bo Shin, LLC is located at 7 Broad Ave Ste 203, Palisades Park, NJ 07650. The listed phone number is (201) 705-7885.

What is Dr Bo Shin, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Dr Bo Shin, LLC was last updated on May 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.