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

Dr. Mira Shin, MD

Individual provider Specialist · NPI 1659334498

Dr. Mira Shin, MD is a Physical Medicine and Rehabilitation in Fort Lee, New Jersey. Qualified in 2000, 26 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
26
Licensed in
NJ
In the registry since
2006
Specialties on file
6
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

2050 Center Ave Ste 425
Fort Lee, NJ 07024-4911
Phone: (201) 261-1000
Fax: (201) 261-1188
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 25MA07929700 (NJ)
Specialist Taxonomy 174400000X · Licence 25MA07929700 (NJ)
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081H0002X · Licence 25MA07929700 (NJ)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X · Licence 25MA07929700 (NJ)
Sports Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081S0010X · Licence 25MA07929700 (NJ)
Sports Medicine (Preventive Medicine) Physician Taxonomy 2083S0010X · Licence 25MA07929700 (NJ)

Record details

NPI number1659334498
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 11, 2006
Last updated in NPPESFebruary 5, 2016

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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