Active NPI
Shin Hann Lee
- Student in an Organized Health Care Education/Training Program
- Brooklyn, NY
National Provider Identifier
1821778390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 760 Broadway
Brooklyn, NY 11206-5383 - Phone
- (718) 963-8000
- NPI assigned
- Jul 20, 2023
- Reactivated
- Jul 30, 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 | Primary |
Addresses
Primary practice location
760 Broadway
Brooklyn, NY 11206-5383
Mailing address
345 East 24TH Street
New York, NY 10010
Phone (212) 998-9800
Other practice location 1
345 East 24th Street
New York, NY 10010
Phone (212) 998-9800
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": "1689811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1821778390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 EAST 24TH STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10010",
"telephone_number": "212-998-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 BROADWAY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112065383",
"telephone_number": "718-963-8000"
}
],
"practiceLocations": [
{
"address_1": "345 East 24th Street",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10010",
"country_code": "US",
"telephone_number": "212-998-9800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "SHIN HANN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-20",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"deactivation_date": "2024-05-29",
"reactivation_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.