HAROLD DONGJIN SHIN
NPI 1003619214
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Active since March 31, 2025PECOS Enrolled
MSC09 5030, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-8244 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 5, 2026, Mar 31, 2025 (2 updates tracked since 2025).

About Harold Dongjin Shin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAROLD DONGJIN SHIN (NPI 1003619214) is an individual student in an organized health care education/training program in Albuquerque, New Mexico, licensed in New Mexico (RS2026-0207) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003619214
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameHAROLD DONGJIN SHIN
Location AddressMSC09 5030, 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001
Mailing AddressMsc09 5030, 1 University Of New MexicoAlbuquerque, NM 87131-0001 · (505) 272-8244
Sole ProprietorYes
Enumeration DateMarch 31, 2025
Last NPPES UpdateJune 8, 20262 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
NPI 1003619214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in NM · RS2026-0207
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

MSC09 5030, Albuquerque, NM 87131

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Harold Dongjin Shin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
MSC09 5030, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC09 5030, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC09 5030, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Psychologist
MSC09 5030, 1 UNM
ALBUQUERQUE, NM 87131
Psychiatry & Neurology (Psychiatry)
MSC09 5030, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Psychiatry & Neurology (Psychiatry)
MSC09 5030, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC09 5030, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC09 5030, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003619214, enumerated as an "individual" on March 31, 2025.

The provider is located at MSC09 5030 1 UNIVERSITY OF NEW MEXICO ALBUQUERQUE, NM 87131 and the phone number is (505) 272-8244.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.