Individual provider Active NPI

Sangyoon Jason Shin, D.O.

  • Hospitalist Physician
  • New York, NY
National Provider Identifier
1972827863
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
262555 Issued in NY
Practice address
First Avenue at 16TH Street
New York, NY 10003
Phone
(212) 844-1808
NPI assigned
Mar 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 262555 NY Primary

Addresses

Primary practice location

First Avenue at 16TH Street
New York, NY 10003

Mailing address

350 E 17TH St
Mount Sinal Beth Israel Medical Center
New York, NY 10003-3805
Phone (212) 844-1808

Other practice location 1

10 Union Sq E
New York, NY 10003-3314
Phone (212) 844-1808

Other practice location 2

281 1st Ave
New York, NY 10003-2925
Phone (212) 844-1808

Other practice location 3

350 E 17th St
Mount Sinal Beth Israel Medical Center
New York, NY 10003-3805
Phone (212) 844-1808

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120611000003 NY Practitioner - HospitalistPractitioner - Internal Medicine 1052575776 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Philadelphia College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 St Ave 16TH St
New York, NY 10003
Phone (212) 844-8100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
262555NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Physicians of University Hospital, PC Internal Medicine CurrentSince Jul 16, 2012 Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Nov 1, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Nov 1, 2017 Accepting new patients
Physicians of University Hospital, PC CurrentSince Jul 16, 2012 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Bimc Faculty Practice Past Accepting new patients

Locations

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

150 E 42nd St
Fl 9
New York, NY 10017
Phone (646) 605-8119

17 E 102nd St
New York, NY 10029
Phone (212) 241-7968

350 E 17th St
New York, NY 10003
Phone (212) 420-3363

10 Union Sq E
#3
New York, NY 10003
Phone (212) 420-4145

281 1st Ave
New York, NY 10003
Phone (212) 844-1808

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186

Networks

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

Organizations & group practices 9

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1269129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1972827863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E 17TH ST",
            "address_2": "MOUNT SINAL BETH ISRAEL MEDICAL CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033805",
            "telephone_number": "212-844-1808",
            "fax_number": "212-420-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FIRST AVENUE AT 16TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-844-1808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Union Sq E",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100033314",
            "country_code": "US",
            "telephone_number": "212-844-1808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "281 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100032925",
            "country_code": "US",
            "telephone_number": "212-844-1808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 E 17th St",
            "address_2": "Mount Sinal Beth Israel Medical Center",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100033805",
            "country_code": "US",
            "telephone_number": "212-844-1808",
            "fax_number": "212-420-2025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIN",
        "first_name": "SANGYOON",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-21",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "262555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.