JIWOONG JOHN SHIN M.D.
NPI 1366804817
Emergency Medicine - Pediatric Emergency Medicine in Manhasset, NY

NPI Status: Active since March 23, 2016

Contact Information

300 COMMUNITY DRIVE
MANHASSET, NY
ZIP 11030
Phone: (516) 562-0100

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  • Individual
  • Male
  • Emergency Medicine
  • Pediatric Emergency Medicine
  • PECOS Enrolled

About JIWOONG SHIN

This page provides the complete NPI Profile along with additional information for Jiwoong Shin, a provider established in Manhasset, New York with a medical specialization in Emergency Medicine, focusing in pediatric emergency medicine . The healthcare provider is registered in the NPI registry with number 1366804817 assigned on March 2016. The practitioner's primary taxonomy code is 207PP0204X with license number 297441-1 (NY). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1366804817
Provider Name
JIWOONG JOHN SHIN M.D.
Gender
Male
Entity Type
Individual
Location Address
300 COMMUNITY DRIVE MANHASSET, NY 11030
Location Phone
(516) 562-0100
Mailing Address
300 COMMUNITY DRIVE MANHASSET, NY 11030
Is Sole Proprietor?
No
Enumeration Date
03-23-2016
Last Update Date
05-23-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine Pediatric Emergency Medicine

Taxonomy Code
207PP0204X
Type
Allopathic & Osteopathic Physicians
License No.
297441-1
License State
NY
Taxonomy Description
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.

Medicare Participation & PECOS Enrollment Status

Jiwoong Shin is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 11030 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $105.06
  • Minimum New Patient Price $67.4
  • Maximum New Patient Price $203.53
  • Average New Patient Copayment $26.26
  • Minimum New Patient Copayment $16.85
  • Maximum New Patient Copayment $50.88

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $117.62
  • Minimum Established Patient Price $21.66
  • Maximum Established Patient Price $164.45
  • Average Established Patient Copayment $29.4
  • Minimum Established Patient Copayment $5.41
  • Maximum Established Patient Copayment $41.11

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for JIWOONG JOHN SHIN M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366804817
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23126160882
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 6 + 0 + 8 + 8 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1366804817 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1710901913MRS. DEBORAH ANN BANK RPAC
Individual
Physician Assistant300 COMMUNITY DRIVE
MANHASSET, NY 11030
(516) 562-4970
1609953660MR. TREVOR HOMER SINCLAIR PA
Individual
Physician Assistant300 COMMUNITY DRIVE DEPARTMENT OF UROLOGY - NORTH SHORE UNIVERSITY HOSPITAL
MANHASSET, NY 11030
(516) 562-2880
1396809661 ANDY SCHACHTER PA-C
Individual
Physician Assistant300 COMMUNITY DRIVE
MANHASSET, NY 11030
(516) 562-0100
1730216706 JILL S WHYTE MD
Individual
Obstetrics & Gynecology (Gynecologic Oncology)300 COMMUNITY DRIVE NORTH SHORE UNIVERSITY HOSPITAL
MANHASSET, NY 11030
(516) 562-4438
1871621698MRS. PAURAVI P SHROFF PT
Individual
General Acute Care Hospital300 COMMUNITY DRIVE
MANHASSET, NY 11030
(917) 767-4898
1720118029 ROBERT PILLAR DDS
Individual
Dentist300 COMMUNITY DRIVE NSUH - DEPT OF DENTAL MEDICINE
MANHASSET, NY 11030
(516) 562-4525
1477683761 JAMES MCLEAN
Individual
Psychiatry & Neurology (Psychiatry)300 COMMUNITY DRIVE NSUH - DEPT PSYCHIATRY
MANHASSET, NY 11030
(516) 562-3281
1467582858 KAREN BLACK
Individual
Radiology (Neuroradiology)300 COMMUNITY DRIVE NSUH-DEPT. OF RADIOLOGY
MANHASSET, NY 11030
(516) 562-4800
1215067517DR. SALVATORE PARDO M.D.
Individual
Emergency Medicine300 COMMUNITY DRIVE NSUH-DEPT OF EMERGENCY MEDICINE
MANHASSET, NY 11030
(516) 562-1517
1124158423 JAGRUTI PATEL
Individual
Emergency Medicine300 COMMUNITY DRIVE NSUH-DEPT OF EMERGENCY MEDICINE
MANHASSET, NY 11030
(516) 562-3090
1255461554 PETER REISER
Individual
Anesthesiology (Critical Care Medicine)300 COMMUNITY DRIVE NSUH-DEPT OF MED & CRITICAL CARE MED
MANHASSET, NY 11030
(516) 562-2308
1073643375 LUDMIO REMY
Individual
Neurological Surgery300 COMMUNITY DRIVE NSUH-DEPT. OF NEUROSURGERY
MANHASSET, NY 11030
(516) 547-0457
1003949983 ANNABELLA SALVADOR
Individual
Emergency Medicine300 COMMUNITY DRIVE NSUH-DEPT OF EMERGENCY MEDICINE
MANHASSET, NY 11030
(516) 562-4125
1073647335 JEFFREY KATZ
Individual
Psychiatry & Neurology (Neurology)300 COMMUNITY DRIVE NSUH DEPARTMENT OF NEUROLOGY
MANHASSET, NY 11030
(516) 562-6064
1508071028DR. HOWARD DAVID LINDER M.D.
Individual
Psychiatry & Neurology (Psychosomatic Medicine)300 COMMUNITY DRIVE NORTH SHORE UNIVERSITY HOSPITAL
MANHASSET, NY 11030
(516) 562-4745
1801064993MRS. ANNIE KORUTHU SABU R.N, MS, NP-C
Individual
Nurse Practitioner (Adult Health)300 COMMUNITY DRIVE NORTHSHORE UNIVERSITY HOSPITAL
MANHASSET, NY 11030
(516) 327-6093
1417111998 LINA CHUSID MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)300 COMMUNITY DRIVE
MANHASSET, NY 11030
(516) 562-4665
1073779617 GREGORY MICHAEL GRIMALDI M.D.
Individual
Radiology (Body Imaging)300 COMMUNITY DRIVE NORTH SHORE UNIVERSITY HOSPITAL DEPT OF RADIOLOGY
MANHASSET, NY 11030
(516) 562-4800
1194959270MS. SHARI BETH MITSCH NP
Individual
Nurse Practitioner (Adult Health)300 COMMUNITY DRIVE NORTH SHORE UNIVERSITY HOSPITAL-EMERGENCY DEPT
MANHASSET, NY 11030
(516) 562-0100
1275762544DR. SILVIA G SPITZER PHD
Individual
Specialist300 COMMUNITY DRIVE NORTH SHORE HOSPITAL
MANHASSET, NY 11030
(516) 562-0100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366804817, enumerated in the NPI registry as an "individual" on March 23, 2016

The provider is located at 300 Community Drive Manhasset, Ny 11030 and the phone number is (516) 562-0100

The provider's speciality is Emergency Medicine with taxonomy code 207PP0204X with a focus in Pediatric Emergency Medicine

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $105.06 with an average copayment of $26.26 for new patient appointments. Established patients should expect a typical charge of $117.62 and an average copayment of 29.4. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on March 23, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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