Individual provider Active NPI

Judy Mei-Chia Lin, MD

  • Gastroenterology Physician
  • Teaneck, NJ
National Provider Identifier
1033123161
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MA069382 Issued in NJ
Practice address
1086 Teaneck Rd Ste 4C
Teaneck, NJ 07666-4855
Phone
(201) 837-9449
Fax
(201) 578-1699
NPI assigned
Jul 27, 2006
Last updated
Feb 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MA069382 NJ Primary

Addresses

Primary practice location

1086 Teaneck Rd Ste 4C
Teaneck, NJ 07666-4855

Mailing address

1086 Teaneck Rd Ste 4C
Teaneck, NJ 07666-4855
Phone (201) 837-9449

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
I20070222000521 NJ Practitioner - Gastroenterology 2062514011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Jefferson Medical College of Thomas Jefferson University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allied Digestive Health LLCGroup PAC ID 5991027583, 282 clinicians

Practice addresses (Care Compare)

1086 Teaneck Rd
Suite 4C
Teaneck, NJ 07666-4855
Phone (201) 837-9449

1640 Route 88 W 202
Atlantic Coast Gastroenterology Assoc
Brick, NJ 08724-3068
Phone (732) 458-8300

42 Throckmorton LN
Old Bridge, NJ 08857-2572
Phone (732) 679-8808

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy86
Upper gastrointestinal (GI) endoscopy for acid reflux121

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA069382NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Digestive Health, LLC Gastroenterology CurrentSince May 1, 2024 Accepting new patients
Atlantic Coast Gastroenterology Associates Gastroenterology Past Accepting new patients
Medical Care Institute Past Accepting new patients

Locations

98 James St
Ste 200
Edison, NJ 08820
Phone (732) 230-2828

42 Throckmorton Ln
Old Bridge, NJ 08857
Phone (732) 607-1111

1086 Teaneck Rd
Ste 4C
Teaneck, NJ 07666
Phone (201) 837-9449

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

Interoperability endpoints

  • Direct secure messaging: jlin189910@ahs.direct-ci.com
  • Direct secure messaging: judy.lin.1@24721.direct.athenahealth.com

Organizations & group practices 4

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

Hospital & facility affiliations 2

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1033123161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 TEANECK RD STE 4C",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664855",
            "telephone_number": "201-837-9449",
            "fax_number": "201-578-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 TEANECK RD STE 4C",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664855",
            "telephone_number": "201-837-9449",
            "fax_number": "201-578-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "JUDY",
        "middle_name": "MEI-CHIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "MA069382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.