Individual provider Active NPI

Edward Alan Lin, MD

  • Orthopaedic Surgery Physician
  • Franklin Lakes, NJ
National Provider Identifier
1013234012
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25MA09817100 Issued in NJ
Practice address
784 Franklin Ave Ste 250
Franklin Lakes, NJ 07417-1306
Phone
(844) 777-0910
Fax
(201) 560-0712
NPI assigned
Apr 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 25MA09817100 NJ
Orthopaedic Surgery Physician 207X00000X 25MA09817100 NJ Primary

Addresses

Primary practice location

784 Franklin Ave Ste 250
Franklin Lakes, NJ 07417-1306

Mailing address

784 Franklin Ave Ste 250
Franklin Lakes, NJ 07417-1306
Phone (844) 777-0910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160525002367 NJ Practitioner - Orthopedic Surgery 0244529634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
New York University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kayal Medical Group, LLCGroup PAC ID 2961894019, 76 clinicians

Practice addresses (Care Compare)

784 Franklin Ave
Suite 250
Franklin Lakes, NJ 07417-1306
Phone (844) 777-0910

Hospital & facility affiliations

  • Hackensack Meridian Health Pascack Valley Medical Hospital, Westwood, NJ, CCN 310130
  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
  • Valley Hospital Hospital, Paramus, NJ, CCN 310012
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kayal Orthopaedic Center, P.C. Orthopaedic Surgery CurrentSince Jul 1, 2016 Accepting new patients
Kayal Medical Group, LLC Orthopaedic Surgery CurrentSince Jan 1, 2022 Accepting new patients

Locations

784 Franklin Ave
Ste 250
Franklin Lks, NJ 07417
Phone (201) 560-0711

266 Harristown Rd
Ste 107
Glen Rock, NJ 07452
Phone (201) 560-0711

185 N Route 17
Ste 101
Paramus, NJ 07652
Phone (201) 560-0711

185 N State Rt 17
Paramus, NJ 07652

543 45th St
Union City, NJ 07087
Phone (201) 662-5437

260 Old Hook Rd
Ste 401
Westwood, NJ 07675
Phone (201) 560-0711

Interoperability endpoints

  • Direct secure messaging: edward.lin@ko.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1013234012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 FRANKLIN AVE STE 250",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171306",
            "telephone_number": "844-777-0910",
            "fax_number": "201-560-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 FRANKLIN AVE STE 250",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171306",
            "telephone_number": "844-777-0910",
            "fax_number": "201-560-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "EDWARD",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-29",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NJ",
            "license": "25MA09817100",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA09817100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Lakes, NJ

Sources for this page

Verify at the official NPI Registry.