JAE HUN SHIN
NPI 1053008102
Psychologist - Counseling in Brooklyn, NY

Active since April 19, 2023PECOS Enrolled
4802 10TH AVE, BROOKLYN, NY 11219(718) 283-6000 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jae Hun Shin NPPES

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

JAE HUN SHIN (NPI 1053008102) is an individual counseling provider in Brooklyn, New York and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with Metropolitan Hospital Center, and is a graduate of Fordham University School Of Medicine (2024).

NPPES Registry Identity

NPI1053008102
Entity TypeIndividualMale
Primary Taxonomy103TC1900X
Provider Legal NameJAE HUN SHIN
Location Address4802 10TH AVEBrooklyn, NY 11219-2916
Mailing Address2719 44th Dr Apt 21bLong Island City, NY 11101-3055
Sole ProprietorYes
Medical School CMSFordham University School Of MedicineGraduated 2024
Enumeration DateApril 19, 2023
NPPES CertifiedApril 19, 2023
NPI 1053008102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
4802 10TH AVE, Brooklyn, NY 11219

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID9931685518
PECOS Enrollment IDI20260114000207
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Metropolitan Hospital Center

Acute Care Hospitals · New York, NY
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330199
Location1901 First AvenueNew York, NY 10029 · New York County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Legal Medicine
4802 10TH AVE
BROOKLYN, NY 11219
Nurse Practitioner (Psychiatric/Mental Health)
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Nurse Practitioner (Family)
4802 10TH AVE, PRE-TESTING
BROOKLYN, NY 11219
Internal Medicine (Infectious Disease)
4802 10TH AVE
BROOKLYN, NY 11219

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jae Hun Shin's NPI number?

The NPI number for Jae Hun Shin is 1053008102. It was assigned to this individual provider in the NPPES registry on April 19, 2023.

Where is Jae Hun Shin located?

Jae Hun Shin practices at 4802 10th Ave, Brooklyn, NY 11219. The listed phone number is (718) 283-6000.

What is Jae Hun Shin's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Jae Hun Shin enrolled in Medicare?

Yes. Jae Hun Shin is registered in the Medicare PECOS enrollment system.

Is Jae Hun Shin affiliated with any hospitals?

According to CMS data, Jae Hun Shin is affiliated with Metropolitan Hospital Center.

When was this NPI record last updated?

The NPPES record for Jae Hun Shin was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.