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

Jiwoong John Shin, MD

Individual provider Pediatric Emergency Medicine (Emergency Medicine) Physician · NPI 1366804817

Jiwoong John Shin, MD is a Pediatric Medicine in Hackensack, New Jersey. Qualified in 2016, 10 years ago. Practices with Hackensack Meridian Health Medical Group - Specialty Care PC, a 1,897-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
10
Licensed in
NJ
In the registry since
2016
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

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone: (551) 996-3400
Show map & directions

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

Specialties & licences

Pediatric Emergency Medicine (Emergency Medicine) Physician (primary) Taxonomy 207PP0204X · Licence 25MA11726700 (NJ)

Record details

NPI number1366804817
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2016
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Hackensack Meridian Health Medical Group - Specialty Care Pc — 1897 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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