Daniel Isaac Shine, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

148914 Issued in NY

Practice address

New York University Hospitals Center 555 First Ave.
Tisch 1626
New York, NY 10016-6497

Phone

(212) 263-3250

Fax

(212) 263-3882

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Barnabas Health Medical Group, PC

  • Specialist
  • West Orange, NJ
  • NPI 1447206420

  Internal Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750476644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NEW YORK UNIVERSITY HOSPITALS CENTER 555 FIRST AVE.",
            "address_2": "TISCH 1626",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166497",
            "telephone_number": "212-263-3250",
            "fax_number": "212-263-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NEW YORK UNIVERSITY HOSPITALS CENTER 555 FIRST AVE.",
            "address_2": "TISCH 1626",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166497",
            "telephone_number": "212-263-3250",
            "fax_number": "212-263-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINE",
        "first_name": "DANIEL",
        "middle_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "148914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23D041",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shine Bright Dental Services PC
• Shine Dentistry Midtown
• Shine Healthcare Group LLC
• Shine Medical PC
• Antoinette Bonafede Shine, LCSW
• Shoshana Shine, FNP
• Eliana Shinefield, RN
• Jacqueline Marilyn Shinefield, LMFT RN ED.D
• Kelli Shinfield-Novak, M.A., L.P.
• Kishan Shingala, MD

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.