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SIMON SHIN MD
NPI 1609526490
Student in an Organized Health Care Education/Training Program in Rochester, NY

Active since March 25, 2022
601 ELMWOOD AVENUE BOX SURG, ROCHESTER, NY 14642(206) 920-7917 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Simon Shin Md NPPES

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

SIMON SHIN MD (NPI 1609526490) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1609526490
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSIMON SHINCredential: MD
Location Address601 ELMWOOD AVENUE BOX SURGRochester, NY 14642-0001
Mailing Address9230 Burt St Apt 101Omaha, NE 68114-2468 · (206) 920-7917
Phone(206) 920-7917
Sole ProprietorYes
Enumeration DateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
✔ NPI 1609526490 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.
601 ELMWOOD AVENUE BOX SURG, Rochester, NY 14642
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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.

DANEAL PORTMAN MD
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVENUE BOX SURG
ROCHESTER, NY 14642
Monroe County (585) 275-2723
MITCHELL BREITENBACH
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVENUE BOX SURG
ROCHESTER, NY 14642
Monroe County (585) 275-2723
DR. MARIO MANSOUR MATABELE MD
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVENUE BOX SURG
ROCHESTER, NY 14642
Monroe County (585) 275-2723
RACHEL ELISABETH SCHAFER MD, MPH
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVENUE BOX SURG
ROCHESTER, NY 14642
Monroe County (585) 275-2723
BENJAMIN GARRETT GERTSEN MD
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVENUE BOX SURG
ROCHESTER, NY 14642
Monroe County (585) 275-2723
ANNA WEISS MD
Surgery (Surgical Oncology)
601 ELMWOOD AVENUE BOX SURG
ROCHESTER, NY 14642
Monroe County (585) 487-1000
DR. MICHAEL ANTONIO VELLA MD
Surgery (Trauma Surgery)
601 ELMWOOD AVENUE BOX SURG
ROCHESTER, NY 14642
Monroe County (585) 275-1984
DR. BRITTANY ROCQUE MD
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVENUE BOX SURG
ROCHESTER, NY 14642
Monroe County (802) 309-2994

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 Simon Shin's NPI number?

The NPI number for Simon Shin is 1609526490. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Where is Simon Shin located?

Simon Shin practices at 601 Elmwood Avenue Box Surg, Rochester, NY 14642. The listed phone number is (206) 920-7917.

What is Simon Shin'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 Simon Shin was last updated on March 25, 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.