NA la Shin

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV009290-01 Issued in NY

Practice address

192 Summerhill Rd
East Brunswick, NJ 08816-4950

Phone

(732) 257-4900

NPI assigned

Nov 30, 2020

Sex

Female

Sole proprietor

No

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

Enrolled in NJ, NY2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Merit-based Incentive Payment System (MIPS)

Final score

89.81 of 100Reported as group

Quality

100

Improvement activities

40

Cost

66.03

Merit-based Incentive Payment System (MIPS)

Final score

90.81 of 100Reported as group

Quality

100

Improvement activities

40

Cost

69.38

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nshin@kung.intellechartdirect.net

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.

• Staten Island Ophthalmology, PC

  • Ophthalmology Physician
  • Staten Island, NY
  • NPI 1578570198
  Medicare reassignment NPD
• Academic Eye Center PA

  • Ophthalmology Physician
  • East Brunswick, NJ
  • NPI 1346268661
  Medicare reassignment

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1972107076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 OCEANIC AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126511",
            "telephone_number": "718-948-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 SUMMERHILL RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164950",
            "telephone_number": "732-257-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "NA LA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00702300",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009290-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irvin Bruce Sherman, D.D.S., MSCD
• Lynn Sherman, LCSW
• Aditi A Sheth, DROT
• Tripti Sheth, R.N.
• Tripthi Shetty, DDS
• Prapti Y Shingala
• Serena Shmulewitz, OTR
• Amy Shnayder, M.A. CCC-SLP
• Rebecca Shpigler
• Shreene Maria RX LLC

• Optometrist in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.