Individual provider Active NPI

Aleyna Soyoung Shin, MSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Edgewater, NJ
National Provider Identifier
1336930585
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15330400 Issued in NJ
Practice address
242 River Mews LN
Edgewater, NJ 07020-3114
Phone
(213) 820-1461
NPI assigned
May 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ15330400 NJ Primary

Addresses

Primary practice location

242 River Mews LN
Edgewater, NJ 07020-3114

Mailing address

242 River Mews LN
Edgewater, NJ 07020-3114
Phone (213) 820-1461

Other practice location 1

155 Willowbrook Blvd Ste 110
Wayne, NJ 07470-7033
Phone (862) 304-5169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260219000167 NJ Practitioner - Nurse Practitioner 2365922176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

155 Willowbrook Blvd
Suite 110
Wayne, NJ 07470-7033

242 River Mews LN
Edgewater, NJ 07020-3114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ15330400NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intouch Medical Consult, LLC Psychiatric/Mental Health CurrentSince Jan 10, 2026 Accepting new patients

Locations

155 Willowbrook Blvd
Ste 110
Wayne, NJ 07470
Phone (862) 224-4863

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1336930585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 RIVER MEWS LN",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070203114",
            "telephone_number": "213-820-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 RIVER MEWS LN",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070203114",
            "telephone_number": "213-820-1461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Willowbrook Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074707033",
            "country_code": "US",
            "telephone_number": "862-304-5169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIN",
        "first_name": "ALEYNA",
        "middle_name": "SOYOUNG",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-16",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15330400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, NJ

Sources for this page

Verify at the official NPI Registry.