Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Edward Shim, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629817689

Dr. Edward Shim, MD is a Student in an Organized Health Care Education/Training Program in Staten Island, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

868 Sheldon Ave
Staten Island, NY 10309-2328
Phone: (404) 519-3843
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1629817689
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 21, 2024
Last updated in NPPESMay 26, 2024
Certification dateMay 26, 2024

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