DR. MIRA SHIN (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1659334498

DR. MIRA SHIN (M.D.) is a healthcare provider. based in Fort lee, New Jersey. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials M.D.. They hold a License No. 25MA07929700 (NJ). The NPI Number for DR. MIRA SHIN (M.D.) is 1659334498

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. MIRA SHIN (M.D.)
NPI
1659334498
Phone
(201) 261-1000
Address
2050 CENTER AVE
Enumeration Date
11 April 2006
Last Update Date
5 February 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2012611100
Graduation Year
2000 (26 years ago)
PAC ID
4688609134
Professional Enrollment ID
I20051005001048
Address ID
NJ070244911FO2050XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

591 PHYSICAL MEDICINE AND REHABILITATION in NJ

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Provider Addresses for DR. MIRA SHIN (M.D.)

  • 2050, Center Avenue, Fort Lee, Bergen County, New Jersey, 07024, United States

    STE 425

    FORT LEE, NJ 070244911

    Phone: (201) 261-1000

    Fax: (201) 261-1188

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $225.

Total Amount is formed as General ($225) + Research ($0) + Ownership ($0) = $225.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Almatica Pharma LLC ($85).

Total Amount

$225

General + Research + Ownership

Payments

14

Total payment records

General Amount

$225

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-10-05

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051005001048IPhysical Medicine And RehabilitationNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes6818$0
29240Placement of strapping to shoulder4617$0
29200Placement of strapping to chest4314$0
29520Placement of strapping to hip4213$0
99215Established patient office or other outpatient visit, 40-54 minutes3615$0
View full utilization report →

Insurance plans in this area (ZIP 07024)

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Reviews

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Frequently asked questions

Can I cross-check DR. MIRA SHIN (M.D.) using NPI 1659334498?
NPI 1659334498 belongs to DR. MIRA SHIN (M.D.); compare other details if you need extra assurance.
Is DR. MIRA SHIN (M.D.) shown as active in public data?
Registry records indicate DR. MIRA SHIN (M.D.) maintains an active NPI.
What area of care is associated with DR. MIRA SHIN (M.D.)?
DR. MIRA SHIN (M.D.)'s record emphasizes Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Is DR. MIRA SHIN (M.D.) associated with Fort Lee?
Public fields place DR. MIRA SHIN (M.D.) around Fort Lee, New Jersey. Always confirm the exact site before visiting.
Does DR. MIRA SHIN (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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