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SHANE JORDAN PA
NPI 1881132132
Physician Assistant - Medical in Brookline, MA

Active since February 07, 2017
1285 BEACON ST, BROOKLINE, MA 02446(617) 751-6205 Get Directions Write a Review

NPPES record last updated: February 7, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shane Jordan Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE JORDAN PA (NPI 1881132132) is an individual medical provider in Brookline, Massachusetts, licensed in Massachusetts (PA6034) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1881132132
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameSHANE JORDANCredential: PA
Location Address1285 BEACON STBrookline, MA 02446-5284
Mailing Address304 Winter StNorwell, MA 02061-1402
Phone(617) 751-6205
Sole ProprietorYes
Enumeration DateFebruary 7, 2017
✔ NPI 1881132132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MA · PA6034
1285 BEACON ST, Brookline, MA 02446
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Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
11 services11 patients

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY KANG
Physician Assistant
1285 BEACON ST
BROOKLINE, MA 02446
Norfolk County (617) 751-6205
GABRIEL REYES DPT
Physical Therapist
1285 BEACON ST
BROOKLINE, MA 02446
Norfolk County (857) 307-4680
HILARY L. LINIHAN
Nurse Practitioner (Family)
1285 BEACON ST
BROOKLINE, MA 02446
Norfolk County (781) 285-7955
KERRI DUPRE ATC, AEMT
Physician Assistant
1285 BEACON ST
BROOKLINE, MA 02446
Norfolk County (617) 751-6205
LISA NICOLE MANNING PA
Physician Assistant
1285 BEACON ST
BROOKLINE, MA 02446
Norfolk County (617) 751-6205
RONAK VATSAL SHAH
Family Medicine
1285 BEACON ST
BROOKLINE, MA 02446
Norfolk County (617) 751-6205
ELISE KRISTEN MCINERNEY FNP
Nurse Practitioner (Family)
1285 BEACON ST
BROOKLINE, MA 02446
Norfolk County (617) 751-6205
CHANDER KUMAR KHATRI M.D.
Family Medicine
1285 BEACON ST, PARTNERS URGENT CARE
BROOKLINE, MA 02446
Norfolk County (617) 751-6205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Jordan's NPI number?

The NPI number for Shane Jordan is 1881132132. It was assigned to this individual provider in the NPPES registry on February 7, 2017.

Where is Shane Jordan located?

Shane Jordan practices at 1285 Beacon St, Brookline, MA 02446. The listed phone number is (617) 751-6205.

What is Shane Jordan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Shane Jordan was last updated on February 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.