DR. JAEGUL SHIM M.D.
NPI 1306541818
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since April 03, 2023
121 DEKALB AVE, HOUSE STAFF ADMINISTRATION, BROOKLYN, NY 11201(718) 250-6604 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Jaegul Shim M.d. NPPES

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

DR. JAEGUL SHIM M.D. (NPI 1306541818) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1306541818
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JAEGUL SHIMCredential: M.D.
Location Address121 DEKALB AVE, HOUSE STAFF ADMINISTRATIONBrooklyn, NY 11201-5493
Mailing Address121 Dekalb Ave, House Staff AdministrationBrooklyn, NY 11201-5493
Sole ProprietorNo
Enumeration DateApril 3, 2023
Last NPPES UpdateApril 4, 2023
NPPES CertifiedApril 4, 2023
NPI 1306541818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
121 DEKALB AVE, Brooklyn, NY 11201

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.

Pharmacist (Nutrition Support)
121 DEKALB AVE, B231
BROOKLYN, NY 11201
Student in an Organized Health Care Education/Training Program
121 DEKALB AVE
BROOKLYN, NY 11201
Student in an Organized Health Care Education/Training Program
121 DEKALB AVE
BROOKLYN, NY 11201
Orthopaedic Surgery (Hand Surgery)
121 DEKALB AVE, ORTHOSUITE
BROOKLYN, NY 11201
Student in an Organized Health Care Education/Training Program
121 DEKALB AVE, HOUSE STAFF ADMINISTRATION
BROOKLYN, NY 11201
Physical Therapist
121 DEKALB AVE
BROOKLYN, NY 11201
Nurse Practitioner (Family)
121 DEKALB AVE
BROOKLYN, NY 11201
Student in an Organized Health Care Education/Training Program
121 DEKALB AVE
BROOKLYN, NY 11201

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 Jaegul Shim's NPI number?

The NPI number for Jaegul Shim is 1306541818. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Jaegul Shim located?

Jaegul Shim practices at 121 Dekalb Ave House Staff Administration, Brooklyn, NY 11201. The listed phone number is (718) 250-6604.

What is Jaegul Shim's specialty?

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

When was this NPI record last updated?

The NPPES record for Jaegul Shim was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.