Individual provider Active NPI

Yoo Jin Shin

  • Acupuncturist
  • Fresh Meadows, NY
National Provider Identifier
1619886686
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
007948-01 Issued in NY
Practice address
18904 64TH Ave Apt 10B
Fresh Meadows, NY 11365-3847
Phone
(718) 687-2357
NPI assigned
Sep 3, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 026685-01 NY
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 007948-01 NY Primary

Addresses

Primary practice location

18904 64TH Ave Apt 10B
Fresh Meadows, NY 11365-3847

Mailing address

18904 64TH Ave Apt 10B
Fresh Meadows, NY 11365-3847
Phone (718) 687-2357

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1619886686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18904 64TH AVE APT 10B",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653847",
            "telephone_number": "718-687-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18904 64TH AVE APT 10B",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653847",
            "telephone_number": "718-687-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "YOO JIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "026685-01",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "007948-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.