Michael Minchul Shin, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

219628-1 Issued in NY

Practice address

967 N Broadway
Department of Anesthesia
Yonkers, NY 10701-1301

Phone

(914) 964-4972

Fax

(914) 964-4433

NPI assigned

Sep 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• T.Y. Kim, M.D., P.C.

  • Multi-Specialty Clinic/Center
  • Yonkers, NY
  • NPI 1215953773
  NPD (past)
• Bergen Anesthesia Associates PA

  • Specialist
  • Teaneck, NJ
  • NPI 1407965080
  NPD (past)

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1831183433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 N BROADWAY",
            "address_2": "DEPARTMENT OF ANESTHESIA",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011301",
            "telephone_number": "914-964-4972",
            "fax_number": "914-964-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 N BROADWAY",
            "address_2": "DEPARTMENT OF ANESTHESIA",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011301",
            "telephone_number": "914-964-4972",
            "fax_number": "914-964-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "MICHAEL",
        "middle_name": "MINCHUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "219628-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02129124",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01566494",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heera S Shetty, MD PC
• Shey, Robbins & Mastrantonio, M.D., P.C.
• April T Shiau, PT, DPT
• Anthony Thomas Shiuh Tsong Shih, MD
• Stanley L Shih, D.D.S.
• Jacob Shinder, LMSW
• Amira Shleiwet, COTA/L
• Shoprite Supermarkets Inc.
• Shore Neurosurgery LLC
• Lisha Shrestha, DDS

• Anesthesiology Physician in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.