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YEON A SHIM DPM
NPI 1679504302
Podiatrist - Foot Surgery in Roselle, NJ

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
1305 SAINT GEORGE AVE, ROSELLE, NJ 07203(908) 620-3200(908) 620-1040 Get Directions Write a Review

NPPES record last updated: January 2, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Yeon A Shim Dpm NPPES

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

YEON A SHIM DPM (NPI 1679504302) is an individual foot surgery provider in Roselle, New Jersey, licensed in New Jersey (MD002426) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (1996).

NPPES Registry Identity

NPI1679504302
Entity TypeIndividualFemale
Primary Taxonomy213ES0131X
Provider Legal NameYEON A SHIMCredential: DPM
Location Address1305 SAINT GEORGE AVERoselle, NJ 07203-2806
Mailing Address776 E 3rd Ave, Ste 2Roselle, NJ 07203-1697 · (908) 620-3200 · Fax (908) 620-1040
Phone(908) 620-3200
Fax(908) 620-1040
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 1996
Enumeration DateJuly 5, 2006
Last NPPES UpdateJanuary 2, 2016
✔ NPI 1679504302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in NJ · MD002426
1305 SAINT GEORGE AVE, Roselle, NJ 07203
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Other Identifiers 2

Medicare UPINU69100NJ
Medicare ID-Type Unspecified006323NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Yeon A Shim Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153456934
PECOS Enrollment IDI20100318000379
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.

Medicare Billing Reassignment

Medicare enrollment records show Yeon Shim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Roselle Podiatry Group, PA
3.1 mi
Foot Surgery
776 E 3RD AVE
Roselle, NJ 07203
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1003139031 (908) 620-3200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
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.
389 services142 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
317 services99 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
49 services49 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
35 services29 patients

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier13 claims26 services$60.33 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
1 supplier13 claims75 services$24.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Yeon Shim's NPI number?

The NPI number for Yeon Shim is 1679504302. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Yeon Shim located?

Yeon Shim practices at 1305 Saint George Ave, Roselle, NJ 07203. The listed phone number is (908) 620-3200.

What is Yeon Shim's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Yeon Shim enrolled in Medicare?

Yes. Yeon Shim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Yeon Shim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yeon Shim reassigns Medicare benefits to Roselle Podiatry Group, PA (Roselle, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Yeon Shim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Yeon Shim was last updated on January 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.