Provider Demographics
NPI:1124119284
Name:CYNN, JHIN J (MD)
Entity type:Individual
Prefix:
First Name:JHIN
Middle Name:J
Last Name:CYNN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 JACKSONVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-3814
Mailing Address - Country:US
Mailing Address - Phone:609-239-3900
Mailing Address - Fax:609-239-3808
Practice Address - Street 1:902 JACKSONVILLE RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-3814
Practice Address - Country:US
Practice Address - Phone:609-239-3900
Practice Address - Fax:609-239-3808
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA030898207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJMA030898OtherMEDICAL LICENSE
AC1868516OtherDEA
NJC52981Medicare UPIN
CY/077468Medicare ID - Type UnspecifiedMEDICARE