JAE YOON SHIN DPM P.C.
NPI 1760135636
Clinic/Center - Podiatric in Paramus, NJ
About Jae Yoon Shin Dpm P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAE YOON SHIN DPM P.C. (NPI 1760135636) is a healthcare organization registered as a podiatric in Paramus, New Jersey and active in the NPI registry since February 2022. The organization maintains 3 additional practice locations and lists Jae Yoon Shin, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jae Yoon Shin Dpm P.c. 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 Jae Yoon Shin DPM P.C., 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.
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 Jae Yoon Shin Dpm P.C.'s NPI number?
The NPI number for Jae Yoon Shin Dpm P.C. is 1760135636. It was assigned to this organization in the NPPES registry on February 1, 2022.
Where is Jae Yoon Shin Dpm P.C. located?
Jae Yoon Shin Dpm P.C. is located at 283 Leonard Pl, Paramus, NJ 07652. The listed phone number is (267) 269-7127.
What is Jae Yoon Shin Dpm P.C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.
Is Jae Yoon Shin Dpm P.C. enrolled in Medicare?
Yes. Jae Yoon Shin Dpm P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jae Yoon Shin Dpm P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Jae Yoon Shin Dpm P.C.. 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.
When was this NPI record last updated?
The NPPES record for Jae Yoon Shin Dpm P.C. was last updated on February 1, 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.
# Jae Yoon Shin Dpm P.c. · NPI 1760135636
Podiatric organization in Paramus, New Jersey. Organization record, active in the CMS NPPES registry since February 1, 2022.
## Identity
- **NPI:** 1760135636 (Entity type: Organization)
- **Enumerated:** February 1, 2022
- **Primary specialty:** Clinic/Center - Podiatric · taxonomy 261QP1100X
- **Organization subpart:** No
- **Authorized official:** Jae Shin, OWNER
## Practice location
- **Address:** 283 LEONARD PL, Paramus, NJ 07652-4517
- **Phone:** (267) 269-7127
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 1, 2022
- **Other identifiers:** Other POD001311 (GA); Other 25MD00365800 (NJ); Other N007210-01 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1760135636) · Data from the CMS NPPES public registry.