Individual provider Active NPI

John Arturo Shinin, MD

  • Internal Medicine Physician
  • Patchogue, NY
National Provider Identifier
1841357506
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
221648 Issued in NY
Practice address
119 N Ocean Ave Ste a
Patchogue, NY 11772-2026
Phone
(631) 207-4200
Fax
(631) 204-6244
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 221648 NY Primary

Addresses

Primary practice location

119 N Ocean Ave Ste a
Patchogue, NY 11772-2026

Mailing address

119 N Ocean Ave
Suite a
Patchogue, NY 11772-2026
Phone (631) 207-4200

Other identifiers 1

IdentifierTypeStateIssuer
02335793MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080215000163 NY Practitioner - Internal Medicine 1254245566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

119 N Ocean Ave
Suite a
Patchogue, NY 11772-2026
Phone (631) 207-4200

119 N Ocean Ave a
Patchogue, NY 11772-2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
045154NYMDOral and Maxillofacial Surgery (Dentist)
221648NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Shinin, MD.PC Internal Medicine CurrentSince Jan 18, 2008 Accepting new patients

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1841357506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N OCEAN AVE",
            "address_2": "SUITE A",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722026",
            "telephone_number": "631-207-4200",
            "fax_number": "631-207-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N OCEAN AVE STE A",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722026",
            "telephone_number": "631-207-4200",
            "fax_number": "631-204-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHININ",
        "first_name": "JOHN",
        "middle_name": "ARTURO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "221648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02335793",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

Verify at the official NPI Registry.