DR. JORDAN T SHIN MD PHD NPI 1588655195

NPI Information

  • NPI: 1588655195
  • Provider Name: DR. JORDAN T SHIN, MD PHD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • Address: 55 FRUIT ST
    YAW 5 CARDIAC UNIT ASSOCIATES
    BOSTON, MA
    ZIP 02114
  • Phone: (617) 724-6750

Map and Directions

Get Directions

NPI Details

DR. Jordan T Shin, MD PHD is a cardiovascular disease internal medicine in Boston, MA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Jordan T Shin, MD PHD NPI is 1588655195. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

55 FRUIT ST
YAW 5 CARDIAC UNIT ASSOCIATES
BOSTON, MA
ZIP 02114-621
Phone: (617) 724-6750
Fax: (617) 724-6767

The enumeration date for this NPI number is 11/2/2005 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine209706MASSACHUSETTSNo
2207RC0000XInternal MedicineCardiovascular Disease209706MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1458021OTHERMASSACHUSETTSTUFTS HEALTH PLAN
2J25211OTHERMASSACHUSETTSBCBS MA
30198447MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI