Individual provider Active NPI

Heeung Shin

  • Acupuncturist
  • Palisades Park, NJ
National Provider Identifier
1467265801
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Practice address
229 E Ruby Ave Apt B
Palisades Park, NJ 07650-1935
Phone
(201) 749-7295
NPI assigned
Jan 29, 2025
Last updated
Jan 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X Primary

Addresses

Primary practice location

229 E Ruby Ave Apt B
Palisades Park, NJ 07650-1935

Mailing address

229 E Ruby Ave Apt B
Palisades Park, NJ 07650-1935

Other practice location 1

97 N 10th St
Brooklyn, NY 11249-1909
Phone (646) 558-9836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1467265801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 E RUBY AVE APT B",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 E RUBY AVE APT B",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501935",
            "telephone_number": "201-749-7295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 N 10th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112491909",
            "country_code": "US",
            "telephone_number": "646-558-9836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIN",
        "first_name": "HEEUNG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palisades Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.