DAVID SHIN
NPI 1366112526
Physician Assistant - Medical in Fort Lee, NJ

Q: What is David Shin's NPI number?

The NPI number for David Shin is 1366112526. It was assigned to this individual provider in the NPPES registry on September 17, 2021.

Q: What is David Shin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for David Shin was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 September 17, 2021PECOS EnrolledAccepts Medicare Assignment

2175 LEMOINE AVE FL 6, FORT LEE, NJ 07024(866) 722-3338 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 26, 2022, Sep 17, 2021 (2 updates tracked since 2021).

On this page

About David Shin NPPES

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

DAVID SHIN (NPI 1366112526) is an individual medical provider in Fort Lee, New Jersey and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1366112526

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameDAVID SHIN

Location Address2175 LEMOINE AVE FL 6Fort Lee, NJ 07024-6008

Mailing Address2175 Lemoine Ave Fl 6Fort Lee, NJ 07024-6008 · (201) 886-9000 · Fax (718) 961-0666

Phone(866) 722-3338

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 17, 2021

Last NPPES UpdateJanuary 26, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2022

✔ NPI 1366112526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2175 LEMOINE AVE FL 6, Fort Lee, NJ 07024

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

David 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 ID5294125654

PECOS Enrollment IDI20211130000530, I20220126000474

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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

92 services64 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

65 services39 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

57 services35 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

30 services30 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

29 services25 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

25 services24 patients

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.

RA LA HUH PA-C

Physician Assistant

2175 LEMOINE AVE FL 6
FORT LEE, NJ 07024

Bergen County (201) 886-9000

FORT LEE BOARD OF EDUCATION

Local Education Agency (LEA)

2175 LEMOINE AVE FL 6
FORT LEE, NJ 07024

Bergen County (201) 585-4612

METRO DERMATOLOGY OF NJ,PA

Dermatology (Procedural Dermatology)

2175 LEMOINE AVE FL 6
FORT LEE, NJ 07024

Bergen County (201) 886-9000

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 David Shin's NPI number?

The NPI number for David Shin is 1366112526. It was assigned to this individual provider in the NPPES registry on September 17, 2021.

Where is David Shin located?

David Shin practices at 2175 Lemoine Ave Fl 6, Fort Lee, NJ 07024. The listed phone number is (866) 722-3338.

What is David Shin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is David Shin enrolled in Medicare?

Yes. David 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.

What insurance does David Shin accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list David Shin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Shin was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.