BRIAN SHIM
NPI 1093056681
Licensed Practical Nurse in College Point, NY

Active since March 07, 2013
2217 120TH ST, COLLEGE POINT, NY 11356(516) 234-2618 Get Directions Write a Review

NPPES record last updated: March 7, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brian Shim NPPES

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

BRIAN SHIM (NPI 1093056681) is an individual licensed practical nurse in College Point, New York, licensed in New York (310349) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1093056681
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameBRIAN SHIM
Location Address2217 120TH STCollege Point, NY 11356-2517
Mailing Address2217 120th StCollege Point, NY 11356-2517
Sole ProprietorNo
Enumeration DateMarch 7, 2013
NPI 1093056681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 310349
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2217 120TH ST, College Point, NY 11356

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 Brian Shim's NPI number?

The NPI number for Brian Shim is 1093056681. It was assigned to this individual provider in the NPPES registry on March 7, 2013.

Where is Brian Shim located?

Brian Shim practices at 2217 120th St, College Point, NY 11356. The listed phone number is (516) 234-2618.

What is Brian Shim's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Brian Shim was last updated on March 7, 2013. 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.