Edward D Shin

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X013130 Issued in NY

Practice address

16410 Crocheron Ave
Flushing, NY 11358-2016

Phone

(718) 445-6272

NPI assigned

Nov 26, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spine Health Chiropractic PC

  • Chiropractor
  • Flushing, NY
  • NPI 1659096733
  Medicare reassignment Authorized official
• Midtown Chiropractic and Physical Therapy PLLC

  • Chiropractor
  • New York, NY
  • NPI 1629958012
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1154891844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16410 CROCHERON AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582016",
            "telephone_number": "718-445-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16410 CROCHERON AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582016",
            "telephone_number": "718-445-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "EDWARD",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabell Shimunova, PHARMD
• Margarita Shimunova, RN
• Michelle Shimunova, PHARMD
• Shin Acupuncture, P.C
• Edward Shin
• Eunseong Shin, PT
• Insoon Shin, R.PH
• Jaeho Shin, D.C.
• Jinah K Shin, NPP
• Jong Shin, D.C.

• Chiropractor in Flushing, NY
• Providers in Flushing, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.