Doctor profile · Federal record
Dr. Jin Sup Shin, DDS, MS
Orthodontics and Dentofacial Orthopedic Dentist · New York, NY
- NPI 1356999510
- 7 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
133 E 58Th St Ste 912
New York, NY 100221283
(646) 760-8028 - Mailing address
-
4117 Crescent St Apt 4B
Long Island City, NY 111013862
Credentials & registration
- NPI registered
- August 2019 — 7 yrs on file
- Specialty taxonomy
- 1223X0400X — NUCC code
- State license (1)
- New York #060492
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1356999510. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$28
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Envista Holdings Corporation | 1 | $28.09 |
By nature of payment
Frequently asked questions
What is Dr. Jin Sup Shin's medical specialty?
Dr. Jin Sup Shin practices Orthodontics and Dentofacial Orthopedic Dentist in New York, NY.
Where does Dr. Jin Sup Shin practice?
Dr. Jin Sup Shin practices at 133 E 58Th St Ste 912, New York, NY 100221283. Office phone: 6467608028.
What is Dr. Jin Sup Shin's NPI?
Dr. Jin Sup Shin's National Provider Identifier (NPI) is 1356999510, issued by NPPES.