Provider Demographics
NPI:1336930585
Name:SHIN, ALEYNA SOYOUNG (MSN)
Entity type:Individual
Prefix:
First Name:ALEYNA
Middle Name:SOYOUNG
Last Name:SHIN
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 RIVER MEWS LN
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:07020-3114
Mailing Address - Country:US
Mailing Address - Phone:213-820-1461
Mailing Address - Fax:
Practice Address - Street 1:242 RIVER MEWS LN
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:07020-3114
Practice Address - Country:US
Practice Address - Phone:213-820-1461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15330400363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health