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WILLIAM WOOSIK SHIN MD
NPI 1053461236
Pediatrics in Flushing, NY

Active since January 11, 2007CLIA 33D2341352 · Waiver
4221 162ND ST, #1B, FLUSHING, NY 11358(718) 463-0101(718) 460-2009 Get Directions Write a Review

NPPES record last updated: October 10, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About William Woosik Shin Md NPPES

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

WILLIAM WOOSIK SHIN MD (NPI 1053461236) is an individual pediatrics provider in Flushing, New York, licensed in New York (222692) and active in the NPI registry since January 2007. He holds a CLIA Waiver certificate valid through March 31, 2028.

NPPES Registry Identity

NPI1053461236
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameWILLIAM WOOSIK SHINCredential: MD
Location Address4221 162ND ST, #1BFlushing, NY 11358-4150
Mailing Address42-21 162 StFlushing, NY 11358 · (718) 463-0101 · Fax (718) 460-2009
Phone(718) 463-0101
Fax(718) 460-2009
Sole ProprietorNo
Enumeration DateJanuary 11, 2007
Last NPPES UpdateOctober 10, 2012
✔ NPI 1053461236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 222692
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4221 162ND ST, Flushing, NY 11358
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Other Identifiers 3

Medicare ID-Type Unspecified5B3601NY
Medicaid02203249NY
Medicare UPINH60723

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2341352

William Shin Pediatric PC · Flushing, NY
Active · expires Mar 31, 2028
CLIA Number33D2341352
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorWilliam W. Shin
Laboratory Phone(347) 732-9557
Laboratory LocationWilliam Shin Pediatric PC42-21 162nd St 1 Fl, Flushing, NY 11358
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

WILLIAM SHIN PEDIATRIC PC
Pediatrics
4221 162ND ST, #1FL.
FLUSHING, NY 11358
Queens County (718) 463-0101

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 William Shin's NPI number?

The NPI number for William Shin is 1053461236. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is William Shin located?

William Shin practices at 4221 162nd St #1b, Flushing, NY 11358. The listed phone number is (718) 463-0101.

What is William Shin's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does William Shin hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2341352) is associated with this NPI, valid through March 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for William Shin was last updated on October 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.