Active NPI
Tun Lin MD., PC
- Clinic/Center
- Elmhurst, NY
National Provider Identifier
1073766648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 202102
- Legal business name
- TUN LIN MD., PC
- Practice address
- 9024 Corona Ave
Elmhurst, NY 11373-4047 - Phone
- (718) 592-4900
- Fax
- (718) 592-3863
- NPI assigned
- Oct 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tun Lin, MD
- Title
- Ceo
- Phone
- (718) 592-4900
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 202102 | NY | Primary |
Addresses
Primary practice location
9024 Corona Ave
Elmhurst, NY 11373-4047
Mailing address
5023 229TH St
Oakland Gardens, NY 11364-1515
Phone (718) 423-0184
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01707437 | Medicaid | NY | |
| 03147 | Other | NY | GHI MEDICARE |
| 943923 | Other | NY | EMPIRE MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9024 Corona Ave
Elmhurst, NY 11373
Phone (718) 592-4900
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Elmhurst, NY
- NPI 1134195738
-
- General Practice Dentistry
- Elmhurst, NY
- NPI 1023159290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268784000000",
"number": "1073766648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5023 229TH ST",
"city": "OAKLAND GARDENS",
"state": "NY",
"postal_code": "113641515",
"telephone_number": "718-423-0184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9024 CORONA AVE",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734047",
"telephone_number": "718-592-4900",
"fax_number": "718-592-3863"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TUN LIN MD., PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-28",
"last_updated": "2010-03-17",
"status": "A",
"authorized_official_last_name": "LIN",
"authorized_official_first_name": "TUN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "718-592-4900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NY",
"license": "202102",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01707437",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI MEDICARE",
"identifier": "03147",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE MEDICARE",
"identifier": "943923",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.