Active NPI
John Joseph Shine, M.D.
- Orthopaedic Surgery Physician
- New Haven, CT
National Provider Identifier
1336128297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 021675
- Practice address
- 60 Temple St
Suite 3B
New Haven, CT 06510-2716 - Phone
- (203) 752-9291
- NPI assigned
- Jan 10, 2006
- Last updated
- Nov 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 021675 | CT | Primary |
Addresses
Primary practice location
60 Temple St
Suite 3B
New Haven, CT 06510-2716
Mailing address
1 Church St
4TH Floor
New Haven, CT 06510-3330
Phone (203) 752-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Orthopaedics P.C. | Orthopaedic Surgery | Past | Accepting new patients |
| Center for Orthopaedics, PC | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- New Haven, CT
- NPI 1215916085
-
- Orthopaedic Surgery Physician
- Orange, CT
- NPI 1992009138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1336128297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CHURCH ST",
"address_2": "4TH FLOOR",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103330",
"telephone_number": "203-752-3100",
"fax_number": "203-752-9291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 TEMPLE ST",
"address_2": "SUITE 3B",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065102716",
"telephone_number": "203-752-9291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHINE",
"first_name": "JOHN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CT",
"license": "021675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.