EDWARD D SHIN
NPI 1154891844
Chiropractor in Flushing, NY

Active since November 26, 2018Accepts Medicare Assignment
16410 CROCHERON AVE, FLUSHING, NY 11358(718) 445-6272 Get Directions Write a Review

NPPES record last updated: November 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edward D Shin NPPES

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

EDWARD D SHIN (NPI 1154891844) is an individual chiropractor in Flushing, New York, licensed in New York (X013130) and active in the NPI registry since November 2018. He is a graduate of Other (2018).

NPPES Registry Identity

NPI1154891844
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameEDWARD D SHIN
Location Address16410 CROCHERON AVEFlushing, NY 11358-2016
Mailing Address16410 Crocheron AveFlushing, NY 11358-2016 · (718) 445-6272
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 26, 2018
NPI 1154891844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in NY · X013130
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
16410 CROCHERON AVE, Flushing, NY 11358

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Edward D Shin 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 ID1759629702
PECOS Enrollment IDI20190218000196

Other Providers at the Same Location NPPES 3

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

Physical Therapist
16410 CROCHERON AVE
FLUSHING, NY 11358
Chiropractor
16410 CROCHERON AVE
FLUSHING, NY 11358
Acupuncturist
16410 CROCHERON AVE
FLUSHING, NY 11358

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 Edward Shin's NPI number?

The NPI number for Edward Shin is 1154891844. It was assigned to this individual provider in the NPPES registry on November 26, 2018.

Where is Edward Shin located?

Edward Shin practices at 16410 Crocheron Ave, Flushing, NY 11358. The listed phone number is (718) 445-6272.

What is Edward Shin's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Edward Shin enrolled in Medicare?

Yes. Edward 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.

When was this NPI record last updated?

The NPPES record for Edward Shin was last updated on November 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.