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DR. EDWARD SHIM MD
NPI 1629817689
Student in an Organized Health Care Education/Training Program in Staten Island, NY

Active since May 21, 2024
868 SHELDON AVE, STATEN ISLAND, NY 10309(404) 519-3843 Get Directions Write a Review

NPPES record last updated: May 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Edward Shim Md NPPES

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

DR. EDWARD SHIM MD (NPI 1629817689) is an individual student in an organized health care education/training program in Staten Island, New York and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1629817689
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. EDWARD SHIMCredential: MD
Location Address868 SHELDON AVEStaten Island, NY 10309-2328
Mailing Address868 Sheldon AveStaten Island, NY 10309-2328 · (404) 519-3843
Phone(404) 519-3843
Sole ProprietorNo
Enumeration DateMay 21, 2024
Last NPPES UpdateMay 26, 2024
NPPES CertifiedMay 26, 2024
✔ NPI 1629817689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
868 SHELDON AVE, Staten Island, NY 10309
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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 Edward Shim's NPI number?

The NPI number for Edward Shim is 1629817689. It was assigned to this individual provider in the NPPES registry on May 21, 2024.

Where is Edward Shim located?

Edward Shim practices at 868 Sheldon Ave, Staten Island, NY 10309. The listed phone number is (404) 519-3843.

What is Edward Shim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Edward Shim was last updated on May 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.