NPIMap

Individual provider Active NPI

Michael Jin, MD

  • Diagnostic Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1063972511
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2024-02464 Issued in NC
Practice address
2809 Ocean Pkwy
Brooklyn, NY 11235-7802
Phone
(718) 640-3960
NPI assigned
Mar 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 2024-02464 NC
Diagnostic Radiology Physician 2085R0202X 2024-02464 NC Primary

Addresses

Primary practice location

2809 Ocean Pkwy
Brooklyn, NY 11235-7802

Mailing address

2809 Ocean Pkwy
Brooklyn, NY 11235-7802
Phone (347) 713-5234

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250428000390 NC Practitioner - Diagnostic Radiology 8921334715 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Hofstra North Shore - Lij School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Radiology P aGroup PAC ID 0749181089, 32 clinicians
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians

Practice addresses (Care Compare)

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-4000

3186 Village Dr
Suite 201
Fayetteville, NC 28304-3979
Phone (910) 486-5700

500 Jefferson St
Whiteville, NC 28472-3634
Phone (910) 642-8011

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 610-4172

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Radiology P a Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Scotland Memorial Hospital Inc Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Cumberland County Hospital System Inc Diagnostic Radiology CurrentSince Aug 4, 2025 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Jul 1, 2025 Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Medical Imaging Center, LLC CurrentSince Jul 1, 2025 Accepting new patients
Columbus Regional Healthcare System CurrentSince Jul 1, 2025 Accepting new patients
Columbus Regional Healthcare System CurrentSince Jul 1, 2025 Accepting new patients
Case View Medical Services PLLC Neuroradiology CurrentSince Jan 4, 2026 Accepting new patients
Brier Creek Imaging, LLC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology CurrentSince Jun 19, 2025 Accepting new patients
Pinnacle Health Services of North Carolina LLC Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients

Locations

501 S Poplar St
Elizabethtown, NC 28337
Phone (910) 862-4043

3186 Village Dr
Ste 201
Fayetteville, NC 28304
Phone 9104865700104

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

3186 Village Dr
Ste 101
Fayetteville, NC 28304
Phone (910) 221-2500

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776

2809 Ocean Pkwy
Brooklyn, NY 11235
Phone (347) 713-5234

Interoperability endpoints

  • Direct secure messaging: mjin3011967@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: mjin136768@capefearvalley.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1063972511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357802",
            "telephone_number": "347-713-5234",
            "fax_number": "631-444-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357802",
            "telephone_number": "718-640-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-21",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NC",
            "license": "2024-02464",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2024-02464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.