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DR. JEEYONG SHIN MD
NPI 1750123741
Student in an Organized Health Care Education/Training Program in Providence, RI

Active since June 10, 2024PECOS Enrolled
245 CHAPMAN ST STE 300, PROVIDENCE, RI 02905(401) 444-4741(401) 444-4445 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeeyong Shin Md NPPES

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

DR. JEEYONG SHIN MD (NPI 1750123741) is an individual student in an organized health care education/training program in Providence, Rhode Island and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750123741
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JEEYONG SHINCredential: MD
Location Address245 CHAPMAN ST STE 300Providence, RI 02905-4539
Mailing Address245 Chapman St Ste 300Providence, RI 02905-4539 · (401) 444-4741 · Fax (401) 444-4445
Phone(401) 444-4741
Fax(401) 444-4445
Sole ProprietorNo
Enumeration DateJune 10, 2024
Last NPPES UpdateJune 12, 2024
NPPES CertifiedJune 12, 2024
✔ NPI 1750123741 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.
245 CHAPMAN ST STE 300, Providence, RI 02905
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeeyong Shin Md 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.

MARTHA CATHERINE TRIMBUR MD
Internal Medicine
245 CHAPMAN ST STE 300
PROVIDENCE, RI 02905
Providence County (401) 444-4741
MIN JUNG KOH
Student in an Organized Health Care Education/Training Program
245 CHAPMAN ST STE 300
PROVIDENCE, RI 02905
Providence County (401) 444-4741
TANISHA SOUSA AMARAL RD, LDN
Dietitian, Registered
245 CHAPMAN ST STE 300
PROVIDENCE, RI 02905
Providence County (401) 444-7152
MS. NANCY LOUISE HARRITOS RNP
Nurse Practitioner (Family)
245 CHAPMAN ST STE 300
PROVIDENCE, RI 02905
Providence County (401) 444-4741
DR. MEGAN SCALIA PHARMD
Pharmacist (Ambulatory Care)
245 CHAPMAN ST STE 300
PROVIDENCE, RI 02905
Providence County (401) 444-4741
DR. JILLIAN CERULLO PHARMD
Pharmacist (Ambulatory Care)
245 CHAPMAN ST STE 300
PROVIDENCE, RI 02905
Providence County (401) 444-9033
CECILY ADLER MD
Student in an Organized Health Care Education/Training Program
245 CHAPMAN ST STE 300
PROVIDENCE, RI 02905
Providence County (401) 444-4741
EDWARD COLIN DAINGERFIELD MD
Internal Medicine
245 CHAPMAN ST STE 300
PROVIDENCE, RI 02905
Providence County (401) 444-5280

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 Jeeyong Shin's NPI number?

The NPI number for Jeeyong Shin is 1750123741. It was assigned to this individual provider in the NPPES registry on June 10, 2024.

Where is Jeeyong Shin located?

Jeeyong Shin practices at 245 Chapman St Ste 300, Providence, RI 02905. The listed phone number is (401) 444-4741.

What is Jeeyong 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 Jeeyong Shin enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jeeyong Shin was last updated on June 12, 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.