Active NPI
Alan Israel Shain, MD
- Student in an Organized Health Care Education/Training Program
- Forest Hills, NY
National Provider Identifier
1457154791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 10201 66TH Rd
Forest Hills, NY 11375-2029 - Phone
- (718) 830-4000
- NPI assigned
- Mar 31, 2025
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
10201 66TH Rd
Forest Hills, NY 11375-2029
Mailing address
123 W 95TH St Apt 1a
New York, NY 10025-6638
Phone (917) 520-4379
Other practice location 1
301 E Main St
Bay Shore, NY 11706-8408
Phone (631) 968-3000
Other practice location 2
26901 76th Ave
New Hyde Park, NY 11040-1433
Phone (833) 462-6436
Other practice location 3
27111 76th Ave
New Hyde Park, NY 11040-1423
Phone (718) 289-2100
Other practice location 4
300 Community Dr
Manhasset, NY 11030-3876
Phone (516) 562-0100
Other practice location 5
101 Saint Andrews Ln
Glen Cove, NY 11542-2263
Phone (516) 674-7300
Other practice location 6
27005 76th Ave
New Hyde Park, NY 11040-1496
Phone (718) 470-7000
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)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1457154791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 W 95TH ST APT 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100256638",
"telephone_number": "917-520-4379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10201 66TH RD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113752029",
"telephone_number": "718-830-4000"
}
],
"practiceLocations": [
{
"address_1": "301 E Main St",
"address_purpose": "LOCATION",
"city": "Bay Shore",
"state": "NY",
"postal_code": "117068408",
"country_code": "US",
"telephone_number": "631-968-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "26901 76th Ave",
"address_purpose": "LOCATION",
"city": "New Hyde Park",
"state": "NY",
"postal_code": "110401433",
"country_code": "US",
"telephone_number": "833-462-6436",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "27111 76th Ave",
"address_purpose": "LOCATION",
"city": "New Hyde Park",
"state": "NY",
"postal_code": "110401423",
"country_code": "US",
"telephone_number": "718-289-2100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Community Dr",
"address_purpose": "LOCATION",
"city": "Manhasset",
"state": "NY",
"postal_code": "110303876",
"country_code": "US",
"telephone_number": "516-562-0100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Saint Andrews Ln",
"address_purpose": "LOCATION",
"city": "Glen Cove",
"state": "NY",
"postal_code": "115422263",
"country_code": "US",
"telephone_number": "516-674-7300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "27005 76th Ave",
"address_purpose": "LOCATION",
"city": "New Hyde Park",
"state": "NY",
"postal_code": "110401496",
"country_code": "US",
"telephone_number": "718-470-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAIN",
"first_name": "ALAN",
"middle_name": "ISRAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-31",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.