Active NPI
Sukwon Shin, M.D.
- Student in an Organized Health Care Education/Training Program
- New York, NY
National Provider Identifier
1659275667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 506 Lenox Avenue
New York, NY 10037 - Phone
- (212) 939-1000
- NPI assigned
- Oct 5, 2026
- Last updated
- Oct 5, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
506 Lenox Avenue
New York, NY 10037
Mailing address
2035 5TH Ave
Apt 7K
New York, NY 10035
Phone (929) 620-5835
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": "1791158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1659275667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2035 5TH AVE",
"address_2": "APT 7K",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10035",
"telephone_number": "929-620-5835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 LENOX AVENUE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10037",
"telephone_number": "212-939-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIN",
"first_name": "SUKWON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-10-05",
"last_updated": "2026-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.