Hyun Jung Shim, MS, RD, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86096904 Issued in IL

Practice address

8268 164TH St
Jamaica, NY 11432-1121

Phone

(718) 883-3841

NPI assigned

Nov 29, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Networks

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

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1932679263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192-15B 64TH CIRCLE APT 2B",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "11365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8268 164TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321121",
            "telephone_number": "718-883-3841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "192-15B 64TH CIRCLE APT 2B",
            "address_purpose": "LOCATION",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "11365",
            "country_code": "US",
            "telephone_number": "347-287-7001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIM",
        "first_name": "HYUN JUNG",
        "name_prefix": "Ms.",
        "credential": "MS, RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NY",
            "license": "009247-1",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "86096904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Sheppard
• Steven Mark Sherman, MD
• Tenzing Ravzam Sherpa, PA-C
• Denise Laine Sherrier
• Yelena Z Sheydina, MD
• Justin Shim, RPH
• Julia Shimon, OTR/L
• Anzhelika R Shimunov, S.I.
• Roza Shimunov
• Tamara Shimunov, PA

• Registered Dietitian in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.