DAVID SHIN (MD) – Urology Physician, NPI 1558320994

DAVID SHIN (MD) is a healthcare provider. based in Hackensack, New Jersey. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. 25MA07773400 (NJ). The NPI Number for DAVID SHIN (MD) is 1558320994

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DAVID SHIN (MD)
NPI
1558320994
Phone
(551) 996-8090
Address
360 ESSEX ST
Enumeration Date
23 March 2006
Last Update Date
10 December 2014

Doctor Profile

Medical School Name
JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Secondary Phone
2013368686
Graduation Year
1997 (29 years ago)
PAC ID
9931177508
Group Practice PAC ID
9133032519
Professional Enrollment ID
I20040921001064
Address ID
NJ076018550HA360XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

381 UROLOGY in NJ

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Provider Addresses for DAVID SHIN (MD)

  • 360, Essex Street, Hackensack, Bergen County, New Jersey, 07601, United States

    SUITE 403

    HACKENSACK, NJ 076018550

    Phone: (551) 996-8090

    Fax: (551) 996-8221

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $907.

Total Amount is formed as General ($907) + Research ($0) + Ownership ($0) = $907.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Boston Scientific Corporation ($413).

Total Amount

$907

General + Research + Ownership

Payments

19

Total payment records

General Amount

$907

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-09-21

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040921001064IUrologyNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J9030Bcg live intravesical instillation, 1 mg47713$0
99214Established patient office or other outpatient visit, 30-39 minutes208151$0
81002Urinalysis, manual test149123$0
51798Ultrasound measurement of bladder capacity after voiding144108$0
36415Insertion of needle into vein for collection of blood sample8170$0
View full utilization report →

Insurance plans in this area (ZIP 07601)

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Provider's Procedures

DAVID SHIN (MD) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYNJ51798Ultrasound measurement of bladder capacity after voiding15584
UROLOGYNJ81002Urinalysis, manual test328199

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133032519View full group profile
NameSpecialtyState
-NY
-NJ
Geriatric Medicine, Internal MedicineNJ
G A S T R O E N T E R O L O G YNJ
Physician AssistantNY
Physician AssistantNJ
General SurgeryNJ
-NJ
N E U R O L O G YNJ
Nurse PractitionerNJ

Reviews

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Frequently asked questions

How do I look up DAVID SHIN (MD) by NPI?
Use NPI 1558320994 when you need to reference DAVID SHIN (MD) in forms, claims, or directories.
Is DAVID SHIN (MD) currently active in the NPI registry?
CMS-published data lists DAVID SHIN (MD) as an active registrant.
Does DAVID SHIN (MD) list a primary specialty?
If you are matching referrals, note Urology Physician for DAVID SHIN (MD). Clinical services aligned with this taxonomy classification.
Does DAVID SHIN (MD) practice in New Jersey?
You will see Hackensack, New Jersey on file for DAVID SHIN (MD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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