Individual provider Active NPI

Angela Shilin Lijin, M.D.

  • General Practice Physician
  • Flushing, NY
National Provider Identifier
1073892501
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
226479-1 Issued in NY
Practice address
14325 41St Ave
Suite P2
Flushing, NY 11355-1861
Phone
(718) 321-2235
NPI assigned
Aug 15, 2011
Last updated
Aug 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 226479-1 NY Primary

Addresses

Primary practice location

14325 41St Ave
Suite P2
Flushing, NY 11355-1861

Mailing address

14022 45TH Ave
Apt# PLP
Flushing, NY 11355-3190
Phone (646) 318-8243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
226479-1NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Fu Rehabilitation Medical PC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1073892501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14022 45TH AVE",
            "address_2": "APT# PLP",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553190",
            "telephone_number": "646-318-8243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14325 41ST AVE",
            "address_2": "SUITE P2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551861",
            "telephone_number": "718-321-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIJIN",
        "first_name": "ANGELA",
        "middle_name": "SHILIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "226479-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.