Organization Active NPI

J & P Lin Medical Associates, Inc

  • Neurology Physician
  • Rockville, MD
National Provider Identifier
1063517423
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D0059485 Issued in MD
Legal business name
J & P LIN MEDICAL ASSOCIATES, INC
Practice address
4701 Randolph Rd
Suite 102
Rockville, MD 20852-2257
Phone
(301) 881-6651
Fax
(301) 881-6653
NPI assigned
Sep 13, 2006
Last updated
Nov 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Authorized official

Name
Dr. Jenny Zhang Lin, M.D.NPI 1659361616
Title
President
Phone
(301) 881-6651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X D0058236 MD
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X D0059485 MD Primary

Addresses

Primary practice location

4701 Randolph Rd
Suite 102
Rockville, MD 20852-2257

Mailing address

4701 Randolph Rd
Suite 102
Rockville, MD 20852-2257
Phone (301) 881-6651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040921001358 DC Part B Supplier - Clinic/Group Practice 6406824010 Receives reassigned benefits from 1 practitioner
Practice locations: Rockville, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D1034591J & P Lin Medical Associates4701 Randolph Road Ste 102, Rockville, MD 20852Certificate of waiverDec 6, 2026

National Provider Directory

National Provider Directory

Locations

4701 Randolph Rd
Ste 102
Rockville, MD 20852
Phone (301) 881-6651

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1063517423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 RANDOLPH RD",
            "address_2": "SUITE 102",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522257",
            "telephone_number": "301-881-6651",
            "fax_number": "301-881-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 RANDOLPH RD",
            "address_2": "SUITE 102",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522257",
            "telephone_number": "301-881-6651",
            "fax_number": "301-881-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & P LIN MEDICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "ZHANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-881-6651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0058236",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0059485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.