Rene Shin, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

063414 Issued in NY

Practice address

132 E 35TH St
New York, NY 10016-3892

Phone

(212) 736-3676

NPI assigned

Apr 7, 2021

Last updated

May 4, 2026By 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

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1811576507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MAPLE AVE STE 5C",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011729",
            "telephone_number": "732-337-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 E 35TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163892",
            "telephone_number": "212-736-3676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 E 40th St Rm 1203",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100161237",
            "country_code": "US",
            "telephone_number": "212-684-6759",
            "fax_number": "212-684-6758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIN",
        "first_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CT",
            "license": "13048",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "22DI02876900",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "063414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nakyung Shin, M.A.
• Patrick Chul Shin, M.D.
• Peter Shin, D.M.D.
• Peter D Shin, DPT
• Phil Seokyu Shin, MD
• Richard Shin, PHARMD
• Sandra Jean Shin, M.D.
• Sangyoon Jason Shin, D.O.
• Sarah Shin, OD
• Sukwon Shin, M.D.

• Endodontics in New York, NY
• Providers in New York, NY by specialty
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.