MEDICARE: DR. JOOYOUNG JULIA SHIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	241126	NY
2	207R00000X	Internal Medicine Physician	051549	GA
3	207RA0001X	Advanced Heart Failure and Transplant Cardiology Physician	241126	NY
4	207RC0000X	Cardiovascular Disease Physician	241126	NY

General Provider Information

NPI Number	:	1821037961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOOYOUNG JULIA SHIN MD

Provider Business Mailing Address
First Line	:	140 RIVERSIDE BLVD
Second Line	:	APT 505
City	:	NEW YORK
State	:	NY
Zip	:	10069-0601
Country	:	US
Telephone Number	:	212-799-3143
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 BAINBRIDGE AVENUE
Second Line	:	CENTER FOR ADVANCED CARDIAC THERAPY, MAP 7
City	:	BRONX
State	:	NY
Zip	:	10467
Country	:	US
Telephone Number	:	718-920-2248
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	03/11/2026

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