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

Dr. Grace Eun Hae Shin, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124714928

Dr. Grace Eun Hae Shin, DO is an Internal Medicine in Hackensack, New Jersey. Graduated from Touro Un Col of Osteopathic Medicine, New York in 2023, 3 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
3
Trained at
Touro Un Col of Osteopathic Medicine, New York
Licensed in
CA
In the registry since
2023
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone: (551) 996-9500
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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 · Licence D8797893 (CA)

Record details

NPI number1124714928
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 13, 2023
Last updated in NPPESApril 13, 2023
Certification dateApril 13, 2023
Mailing address30 Prospect Ave, Hackensack, NJ 07601-1915

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolTOURO UN COL OF OSTEOPATHIC MEDICINE, NEW YORK
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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