PAUL W. SHINEMAN M.D. NPI 1568478485

NPI Information

NPI: 1568478485
Provider Name: PAUL W. SHINEMAN, M.D.
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Address:
241 E MAIN ST
HUNTINGTON, NY
ZIP 11743
Phone: (631) 367-5300
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Paul W. Shineman, M.D. is an adolescent medicine pediatrics in Huntington, NY. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Paul W. Shineman, M.D. NPI is 1568478485. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

241 E MAIN ST
HUNTINGTON, NY
ZIP 11743-924
Phone: (631) 367-5300
Fax: (631) 351-4561

The enumeration date for this NPI number is 7/31/2006 and was last updated on 7/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine	130784-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2C4861	OTHER	NEW YORK	HEALTHNET
2	2698165	OTHER	NEW YORK	GHI
3	324981	OTHER	NEW YORK	BLUE CROSS/ BLUE SHIELD
4	CP094	OTHER	NEW YORK	OXFORD
5	B13030	MEDICARE UPIN	NEW YORK
6	324981	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
7	00374896	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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