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MR. SHANE JORDAN PA-C
NPI 1982062576
Physician Assistant in New York, NY

Active since February 10, 2016
80 MAIDEN LN STE 900, NEW YORK, NY 10038(917) 261-4414(917) 261-4420 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 16, 2022, Feb 10, 2016 (2 updates tracked since 2016).

About Mr. Shane Jordan Pa-c NPPES

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

MR. SHANE JORDAN PA-C (NPI 1982062576) is an individual physician assistant in New York, New York, licensed in New York (019466) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1982062576
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. SHANE JORDANCredential: PA-C
Location Address80 MAIDEN LN STE 900New York, NY 10038-4811
Mailing Address80 Maiden Ln Ste 900New York, NY 10038-4811 · (917) 261-4414 · Fax (917) 261-4420
Phone(917) 261-4414
Fax(917) 261-4420
Sole ProprietorNo
Enumeration DateFebruary 10, 2016
Last NPPES UpdateAugust 16, 20222 updates tracked since enumeration
NPPES CertifiedAugust 16, 2022
✔ NPI 1982062576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 019466
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
80 MAIDEN LN STE 900, New York, NY 10038
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Other Providers at the Same Location NPPES

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

BRENDAN JAMES SULLIVAN M.D.
Internal Medicine
80 MAIDEN LN STE 900
NEW YORK, NY 10038
New York County (917) 261-4414

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 1982062576. It was assigned to this individual provider in the NPPES registry on February 10, 2016.

Where is Shane Jordan located?

Shane Jordan practices at 80 Maiden Ln Ste 900, New York, NY 10038. The listed phone number is (917) 261-4414.

What is Shane Jordan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Shane Jordan was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.