Dr. Jae Yoon Shin is a Long Island City, New York based male podiatrist with 11 years of experience in Podiatry. He completed his graduation from Temple University School Of Medicine in 2013. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Jae Yoon Shin for Podiatry is 25MD00365800 in New Jersey. Dr. Jae Yoon Shin is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Jae Yoon Shin speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
D.P.M.
Experience:
11+ years
Medical School Attended:
Temple University School Of Medicine
Graduation Year:
2013
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
4220 27th St Apt 515, Long Island City, New York, 11101-8618
Phone:
267-269-7127
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2163793415
Enrollment ID:
I20220303001018
NPI Number:
1396088803
NPI Enumeration Date:
03 Apr, 2013
NPI Last Update On:
01 Feb, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jae Yoon Shin are as mentioned below.
License Number
Specialization
State
Status
25MD00365800
Podiatry
New Jersey
Primary
N00721001
Podiatry
New York
Secondary
POD001311
Podiatry
Georgia
Secondary
25MD00365800
Primary Podiatric Medicine
New Jersey
Secondary
25MD00365800
Podiatric Foot & Ankle Surgery
New Jersey
Secondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Jae Yoon Shin is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Home Foot Care Services Llc (1850587528)
10
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jae Yoon Shin such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
25MD00365800
Other
New Jersey
PODIATRIC LICENSE
POD001311
Other
Georgia
PODIATRIC LICENSE
N007210-01
Other
New York
PODIATRIC LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4220 27th St Apt 515, Long Island City, New York
Zip:
11101-8618
Phone Number:
267-269-7127
Fax Number:
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Patients can reach Dr. Jae Yoon Shin at 4220 27th St Apt 515, Long Island City, New York or can call to book an appointment on 267-269-7127. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.