Individual provider Active NPI

Lin Ji

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1043578321
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
286502 Issued in NY
Practice address
13620 Maple Ave Ste 803
Flushing, NY 11355-5169
Phone
(718) 888-9600
Fax
(718) 750-9634
NPI assigned
Apr 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 286502 NY Primary

Addresses

Primary practice location

13620 Maple Ave Ste 803
Flushing, NY 11355-5169

Mailing address

13620 Maple Ave Ste 803
Flushing, NY 11355-5169
Phone (516) 806-2288

Other identifiers 1

IdentifierTypeStateIssuer
04598087MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190920000460 NY Practitioner - Internal Medicine 9638451099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ding Medical OfficeGroup PAC ID 5597094458, 2 clinicians

Practice addresses (Care Compare)

13630 Maple Ave
Suite 2F
Flushing, NY 11355-3867
Phone (718) 888-9600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ding Medical Office Internal Medicine CurrentSince Sep 5, 2019 Accepting new patients

Locations

13620 Maple Ave
Ste 803
Flushing, NY 11355
Phone (516) 806-2288

13630 Maple Ave
Ste 2F
Flushing, NY 11355
Phone (718) 461-7666

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHFIDD/Endpoint/BHFIDD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1043578321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13620 MAPLE AVE STE 803",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555169",
            "telephone_number": "516-806-2288",
            "fax_number": "718-750-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 MAPLE AVE STE 803",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555169",
            "telephone_number": "718-888-9600",
            "fax_number": "718-750-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JI",
        "first_name": "LIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "286502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04598087",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.