Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Janine Shannon, RPA-C

Individual provider Surgical Physician Assistant · NPI 1568770675

Miss. Janine Shannon, RPA-C is a Physician Assistant in Brooklyn, New York. Qualified in 2010, 16 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
16
Licensed in
NY
In the registry since
2010
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Practice location Address checks out

9711 3rd Ave
Brooklyn, NY 11209-7702
Phone: (718) 833-1808
Fax: (718) 836-3711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 014373 (NY)

Record details

NPI number1568770675
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorYes
NPI enumeratedSeptember 23, 2010
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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