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DR. JAE YOON SHIN D.P.M. NPI 1396088803


NPI Information

NPI: 1396088803
Provider Name: DR. JAE YOON SHIN, D.P.M.
Classification: Podiatrist - 213E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4220 27TH ST APT 515
LONG ISLAND CITY, NY
ZIP 11101
Phone: (267) 269-7127
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DR. Jae Yoon Shin, D.P.M. is a podiatrist in Long Island City, NY with 11 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Jae Yoon Shin, D.P.M. NPI is 1396088803. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2013

The provider's business location address is:

4220 27TH ST APT 515
LONG ISLAND CITY, NY
ZIP 11101-618
Phone: (267) 269-7127

The NPI 1396088803 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)
  • Removal of single thickened skin growth (HCPCS:11055)

The enumeration date for this NPI number is 4/3/2013 and was last updated on 2/1/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristN00721001NEW YORKNo
2213E00000XPodiatristPOD001311GEORGIANo
3213EP1101XPodiatristPrimary Podiatric Medicine25MD00365800NEW JERSEYNo
4213ES0103XPodiatristFoot & Ankle Surgery25MD00365800NEW JERSEYNo
5213E00000XPodiatrist25MD00365800NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
125MD00365800OTHERNEW JERSEYPODIATRIC LICENSE
2POD001311OTHERGEORGIAPODIATRIC LICENSE
3N007210-01OTHERNEW YORKPODIATRIC LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.