Kent Shinbach, M.D.

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

095856 Issued in NY

Practice address

14 E 75TH St
1A
New York, NY 10021-2625

Phone

(212) 744-7100

Fax

(212) 794-9726

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kent Shinbach Professional name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kent D Shinbach MD PC

  • Legal Medicine
  • New York, NY
  • NPI 1578521456
  Medicare reassignment NPD Authorized official
• Goldenberg Dermatology, PC

  • Specialist
  • New York, NY
  • NPI 1720526007
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1992762793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 E 75TH ST",
            "address_2": "1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212625",
            "telephone_number": "212-744-7100",
            "fax_number": "212-794-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 E 75TH ST",
            "address_2": "1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212625",
            "telephone_number": "212-744-7100",
            "fax_number": "212-794-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINBACH",
        "first_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NY",
            "license": "095856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00419287",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENT",
            "last_name": "SHINBACH",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Yong T Shin, MD
• Yoonho Shin, DC
• Youngsook Shin
• Yuri Shin
• Ori Shinar, PSYD
• Priti Pravin Shinde
• Pushkar Shinde
• Sharwari Sanjay Shinde, PT
• Swapnali R Shinde, PT
• Ellie Shinder

• Prescribing (Medical) Psychologist in New York, NY
• Providers in New York, NY by specialty
• Prescribing (Medical) Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.