DR. JAN LESLIE SHIFREN MD NPI 1669454609

NPI Information

NPI: 1669454609
Provider Name: DR. JAN LESLIE SHIFREN, MD
Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Individual

Specialization: Reproductive Endocrinology

PECOS Registration: Yes

Address:
55 FRUIT STREET YAW 10
VINCENT OBGYN REPRODUCTIVE MED IVF
BOSTON, MA
ZIP 02114
Phone: (617) 726-8868
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DR. Jan Leslie Shifren, MD is a reproductive endocrinology obstetrics gynecology in Boston, MA with 36 years of experience. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. DR. Jan Leslie Shifren, MD NPI is 1669454609. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: HARVARD MEDICAL SCHOOL
Graduation Year:1988

The provider's business location address is:

55 FRUIT STREET YAW 10
VINCENT OBGYN REPRODUCTIVE MED IVF
BOSTON, MA
ZIP 02114
Phone: (617) 726-8868
Fax: (617) 726-4803

The NPI 1669454609 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/16/2005 and was last updated on 9/10/2012.

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
1	207V00000X	Obstetrics & Gynecology		151048	MASSACHUSETTS	No
2	207VE0102X	Obstetrics & Gynecology	Reproductive Endocrinology	151048	MASSACHUSETTS	Yes

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
1	J16855	OTHER	MASSACHUSETTS	BCBS MA
2	3155684	MEDICAID	MASSACHUSETTS
3	A21379	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
4	151048	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
5	F53232	MEDICARE UPIN

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: 4/28/2024

NPI Synchronization or Removal

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