Alice M Shin, MD, PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

ALICE M SHIN, MD, PLLC

Practice address

1180 Beacon St Ste a
Brookline, MA 02446-3870

Phone

(617) 209-9606

Fax

(617) 232-2055

NPI assigned

May 5, 2023

Organization subpart

No

Name

Dr. Alice Shin, MDNPI 1316933039

Title

Owner

Phone

(617) 209-9606

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alice M Shin, MD

  • Obstetrics & Gynecology Physician
  • Brookline, MA
  • NPI 1316933039

  MA, Obstetrics & Gynecology

  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 6, 2023.

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683331200000",
    "number": "1902595705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST STE A",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463870",
            "telephone_number": "617-209-9606",
            "fax_number": "617-232-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST STE A",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463870",
            "telephone_number": "617-209-9606",
            "fax_number": "617-232-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE M SHIN, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-06",
        "certification_date": "2023-05-06",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-209-9606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Albert, MSC
• Mary Ann Albert, LICSW
• Roxana Albut Sahlean, M.ED., L.M.H.C.
• Maria Karla Faye Pareja Aleonar
• Diab Ali, MD
• Paul Alie, LICSW
• Align Healthcare, PLLC
• All Home Care Inc
• Cyntavia Allen
• Paul D Allen, MD PHD

• All providers in Brookline, MA
• Obstetrics & Gynecology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.