JOHN SHININ, MD.PC
NPI 1689874620
Internal Medicine in Patchogue, NY
About John Shinin, Md.pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN SHININ, MD.PC (NPI 1689874620) is a healthcare organization registered as an internal medicine in Patchogue, New York and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through September 10, 2028 and lists John Arturo Shinin, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Shinin, Md.pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to John Shinin, MD.PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 33D1003806
John Shinin PC · Patchogue, NYFrequently 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 John Shinin, Md.Pc's NPI number?
The NPI number for John Shinin, Md.Pc is 1689874620. It was assigned to this organization in the NPPES registry on July 18, 2007.
Where is John Shinin, Md.Pc located?
John Shinin, Md.Pc is located at 119 N Ocean Ave Ste A, Patchogue, NY 11772. The listed phone number is (631) 207-4200.
What is John Shinin, Md.Pc's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is John Shinin, Md.Pc enrolled in Medicare?
Yes. John Shinin, Md.Pc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through John Shinin, Md.Pc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to John Shinin, Md.Pc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does John Shinin, Md.Pc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D1003806) is associated with this NPI, valid through September 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for John Shinin, Md.Pc was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# John Shinin, Md.pc · NPI 1689874620
Internal Medicine organization in Patchogue, New York. Organization record, active in the CMS NPPES registry since July 18, 2007.
## Identity
- **NPI:** 1689874620 (Entity type: Organization)
- **Enumerated:** July 18, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** John Shinin, OWNER
## Practice location
- **Address:** 119 N OCEAN AVE STE A, Patchogue, NY 11772-2026
- **Phone:** (631) 207-4200 · **Fax:** (631) 204-6244
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 23, 2024
- **Other identifiers:** Medicaid 02335793 (NY)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1689874620) · Data from the CMS NPPES public registry.