Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

NOAH SHIN
NPI 1316864358
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since July 01, 2026PECOS Enrolled
3223 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-2900 Get Directions Write a Review

NPPES record added: July 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Noah Shin NPPES

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

NOAH SHIN (NPI 1316864358) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS045954) and active in the NPI registry since July 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316864358
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNOAH SHIN
Location Address3223 N BROAD STPhiladelphia, PA 19140-5007
Mailing Address3209 Beachview WalkPhiladelphia, PA 19125-4370
Sole ProprietorYes
Enumeration DateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
NPI 1316864358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in PA · DS045954
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.

3223 N BROAD ST, Philadelphia, PA 19140

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Noah Shin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Dentist (General Practice)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Dentist (General Practice)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Dentist
3223 N BROAD ST
PHILADELPHIA, PA 19140
Anesthesiology
3223 N BROAD ST
PHILADELPHIA, PA 19140
Dentist (General Practice)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Dentist
3223 N BROAD ST
PHILADELPHIA, PA 19140
Dentist (Oral and Maxillofacial Surgery)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Dentist
3223 N BROAD ST
PHILADELPHIA, PA 19140

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 Noah Shin's NPI number?

The NPI number for Noah Shin is 1316864358. It was assigned to this individual provider in the NPPES registry on July 1, 2026.

Where is Noah Shin located?

Noah Shin practices at 3223 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-2900.

What is Noah Shin's specialty?

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

Is Noah Shin enrolled in Medicare?

Yes. Noah Shin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Noah Shin was last updated on July 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.