Active NPI
Jiyun Shin, LAC
- Acupuncturist
- New York, NY
National Provider Identifier
1962943100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 005876
- Practice address
- 42 W 38TH St RM 1204
New York, NY 10018-0054 - Phone
- (212) 320-3722
- NPI assigned
- Mar 20, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 005876 | NY | Primary |
Addresses
Primary practice location
42 W 38TH St RM 1204
New York, NY 10018-0054
Mailing address
6707 242ND St Apt 3F
Douglaston, NY 11362-1998
Phone (917) 670-1500
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005876 | NY | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony Care Acupuncture PC | Acupuncturist | Current | Accepting new patients |
| Graceful Lotus Acupuncture , P.C. | Acupuncturist | Current | Accepting new patients |
Locations
42 W 38th St
Rm 1204
New York, NY 10018
Phone (212) 320-3722
Organizations & group practices 2
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.
-
- Acupuncturist
- New York, NY
- NPI 1689212219
-
- Acupuncturist
- Great Neck, NY
- NPI 1932045622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1962943100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6707 242ND ST APT 3F",
"city": "DOUGLASTON",
"state": "NY",
"postal_code": "113621998",
"telephone_number": "917-670-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 W 38TH ST RM 1204",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100180054",
"telephone_number": "212-320-3722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIN",
"first_name": "JIYUN",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-20",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "005876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.