DR. ANDY YONGTAE JIN DO
NPI 1790538619
Student in an Organized Health Care Education/Training Program in Jersey City, NJ
About Dr. Andy Yongtae Jin Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANDY YONGTAE JIN DO (NPI 1790538619) is an individual student in an organized health care education/training program in Jersey City, New Jersey and active in the NPI registry since April 2024.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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.
JERSEY CITY, NJ 07302
JERSEY CITY, NJ 07302
JERSEY CITY, NJ 07302
JERSEY CITY, NJ 07302
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 Andy Jin's NPI number?
The NPI number for Andy Jin is 1790538619. It was assigned to this individual provider in the NPPES registry on April 10, 2024. The provider is also known as Dr. Yong Tae Jin Do.
Where is Andy Jin located?
Andy Jin practices at 355 Grand St, Jersey City, NJ 07302. The listed phone number is (201) 915-2000.
What is Andy Jin'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 Andy Jin was last updated on July 30, 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.
# Dr. Andy Yongtae Jin, DO · NPI 1790538619
Student in an Organized Health Care Education/Training Program provider in Jersey City, New Jersey. Individual provider, active in the CMS NPPES registry since April 10, 2024.
## Identity
- **NPI:** 1790538619 (Entity type: Individual)
- **Enumerated:** April 10, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 355 GRAND ST, Jersey City, NJ 07302-4321
- **Phone:** (201) 915-2000
## Record status
- **NPPES last updated:** July 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1790538619) · Data from the CMS NPPES public registry.