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PETER YONG SEUNG SHIN M.D.
NPI 1073991626
Anesthesiology in Newark, NJ

Active since May 15, 2015PECOS EnrolledAccepts Medicare Assignment
185 S ORANGE AVE, NEWARK, NJ 07103(973) 972-4300 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Peter Yong Seung Shin M.d. NPPES

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

PETER YONG SEUNG SHIN M.D. (NPI 1073991626) is an individual anesthesiology provider in Newark, New Jersey, licensed in New York (306709) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with New York Community Hospital Of Brooklyn, Inc., and is a graduate of Rutgers New Jersey Medical School (2015).

NPPES Registry Identity

NPI1073991626
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NamePETER YONG SEUNG SHINCredential: M.D.
Location Address185 S ORANGE AVENewark, NJ 07103-2757
Mailing Address1275 15th St Apt 18eFort Lee, NJ 07024-1935 · (201) 978-4758
Phone(973) 972-4300
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2015
Enumeration DateMay 15, 2015
Last NPPES UpdateApril 7, 2022
NPPES CertifiedApril 7, 2022
✔ NPI 1073991626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in NY · 306709
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
185 S ORANGE AVE, Newark, NJ 07103
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Peter Yong Seung Shin M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072927474
PECOS Enrollment IDI20210126002408
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Peter Shin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

United Nyc Medical Associates LLC
15 mi
Anesthesiology
2525 KINGS HWY, NEW YORK COMMUNITY HOSPITAL ANESTHESIA DEPARTMENT
Brooklyn, NY 11229
  • Reassigned Medicare billing, New York enrollment
  • 28 clinicians in this Medicare group
NPI 1871844142 (718) 692-5364
North Shore - Lij Anesthesiology, PC
38 mi
Anesthesiology
480 BEDFORD RD BLDG B
Chappaqua, NY 10514
  • Reassigned Medicare billing, New York enrollment
  • 1,406 clinicians in this Medicare group
NPI 1417401266 (914) 666-8866

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
20 services20 patients
Anesthesia for access to central vein 00532
Anesthesia for access to a central vein is a medical procedure where a numbing medication is used to minimize discomfort during the insertion of a long, thin tube into a large vein. This tube can be used to deliver medications, fluids, or to collect blood samples.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

New York Community Hospital Of Brooklyn, Inc.

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330019
Location2525 Kings HighwayBrooklyn, NY 11229 · Kings County
Emergency services

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.

DR. DEEPA ASOKAN M.D.
Anesthesiology
185 S ORANGE AVE, MSB STE E547
NEWARK, NJ 07103
Essex County (973) 972-5006
LISSETTE MARIA CESPEDES M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
185 S ORANGE AVE, MSB I588
NEWARK, NJ 07103
Essex County (973) 972-3479
MS. ELENA L WICKSTROM MD
Emergency Medicine
185 S ORANGE AVE
NEWARK, NJ 07103
Essex County (732) 445-4636
ALEXANDRA M. SELBERG
Student in an Organized Health Care Education/Training Program
185 S ORANGE AVE
NEWARK, NJ 07103
Essex County (973) 972-5018
CHEYNYA JOHNSON-BRIMLEY PA-C
Physician Assistant (Medical)
185 S ORANGE AVE
NEWARK, NJ 07103
Essex County (848) 445-4636
KIRSYS GUERRERO FUENTES MD
Student in an Organized Health Care Education/Training Program
185 S ORANGE AVE
NEWARK, NJ 07103
Essex County (646) 640-6429
SAGAR PATEL
Student in an Organized Health Care Education/Training Program
185 S ORANGE AVE
NEWARK, NJ 07103
Essex County (973) 972-6049
DR. EVANIE ANGLADE MD
Student in an Organized Health Care Education/Training Program
185 S ORANGE AVE
NEWARK, NJ 07103
Essex County (973) 972-6049

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 Peter Shin's NPI number?

The NPI number for Peter Shin is 1073991626. It was assigned to this individual provider in the NPPES registry on May 15, 2015.

Where is Peter Shin located?

Peter Shin practices at 185 S Orange Ave, Newark, NJ 07103. The listed phone number is (973) 972-4300.

What is Peter Shin's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Peter Shin enrolled in Medicare?

Yes. Peter Shin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Peter Shin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Shin reassigns Medicare benefits to 2 organizations: United Nyc Medical Associates LLC (Brooklyn, NY) and North Shore - Lij Anesthesiology, PC (Chappaqua, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peter Shin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Peter Shin affiliated with any hospitals?

According to CMS data, Peter Shin is affiliated with New York Community Hospital Of Brooklyn, Inc..

When was this NPI record last updated?

The NPPES record for Peter Shin was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.