SEOKHYUN JIN MD
NPI 1245724335
Student in an Organized Health Care Education/Training Program in Syracuse, NY

Q: What is Seokhyun Jin's NPI number?

The NPI number for Seokhyun Jin is 1245724335. It was assigned to this individual provider in the NPPES registry on June 21, 2018.

Q: What is Seokhyun Jin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Seokhyun Jin was last updated on June 24, 2019. 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.

Active since June 21, 2018PECOS EnrolledAccepts Medicare Assignment

750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-5240(315) 464-3751 Get Directions Write a Review

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Seokhyun Jin Md NPPES

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

SEOKHYUN JIN MD (NPI 1245724335) is an individual student in an organized health care education/training program in Syracuse, New York and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and is a graduate of State University Of Ny Upstate Medical University (2022).

NPPES Registry Identity

NPI1245724335

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSEOKHYUN JINCredential: MD

Location Address750 E ADAMS STSyracuse, NY 13210-2306

Mailing Address750 E Adams StSyracuse, NY 13210-2306

Phone(315) 464-5240

Fax(315) 464-3751

Sole ProprietorYes

Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2022

Enumeration DateJune 21, 2018

Last NPPES UpdateJune 24, 2019

✔ NPI 1245724335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

750 E ADAMS ST, Syracuse, NY 13210

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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

Seokhyun Jin Md 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 ID9537405410

PECOS Enrollment IDI20230712001071

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.

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.

DAVID M KANTER MD

Physical Medicine & Rehabilitation