Esther Su Shin, LAC , ACUPUNCTURE

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

568117 Issued in NY

Practice address

7925 Winchester Blvd
Queens Village, NY 11427-2128

Phone

(718) 264-4050

NPI assigned

Feb 13, 2018

Last updated

Apr 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Pathway Acupuncture, P.C.

  • Acupuncturist
  • Bayside, NY
  • NPI 1013588441
  NPD (past)

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1447750815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770282",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113770282",
            "telephone_number": "929-395-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7925 WINCHESTER BLVD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272128",
            "telephone_number": "718-264-4050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4918 67th St",
            "address_purpose": "LOCATION",
            "city": "Woodside",
            "state": "NY",
            "postal_code": "113775922",
            "country_code": "US",
            "telephone_number": "929-395-5998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21406 18th Ave",
            "address_purpose": "LOCATION",
            "city": "Bayside",
            "state": "NY",
            "postal_code": "113601675",
            "country_code": "US",
            "telephone_number": "718-819-8728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIN",
        "first_name": "ESTHER",
        "middle_name": "SU",
        "name_prefix": "Ms.",
        "credential": "LAC , ACUPUNCTURE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "568117",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "166037",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Shareef, MD
• Arooj Sharif
• Haniel Shen, M.D.
• Suzanne Sher, LMSW
• Diana Shimonova, MS, CCC-SLP
• Enfu Keith Cabilin Shoda, M.D.
• Elizabeth O Shodimu, LICENSE
• David Bernard Shoenfeld
• Julia A Shugar, MD
• Sergiy Shurin, MD

• Adult Psychiatric/Mental Health Registered Nurse in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Adult Psychiatric/Mental Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.