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

Yeon A Shim, DPM

Individual provider Foot Surgery Podiatrist · NPI 1679504302

Yeon A Shim, DPM is a Podiatry in Roselle, New Jersey. Graduated from Temple University School of Medicine in 1996, 30 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
30
Trained at
Temple University School of Medicine
Licensed in
NJ
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1305 Saint George Ave
Roselle, NJ 07203-2806
Phone: (908) 620-3200
Fax: (908) 620-1040
Show map & directions

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

Specialties & licences

Foot Surgery Podiatrist (primary) Taxonomy 213ES0131X · Licence MD002426 (NJ)

Record details

NPI number1679504302
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorYes
NPI enumeratedJuly 5, 2006
Last updated in NPPESJanuary 2, 2016
Mailing address776 E 3rd Ave, Ste 2, Roselle, NJ 07203-1697

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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