Charles Jin Medical PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

222414 Issued in NY

Legal business name

CHARLES JIN MEDICAL PC

Practice address

8 Dorset Rd
Great Neck, NY 11020-1702

Phone

(917) 602-0065

NPI assigned

Feb 23, 2009

Organization subpart

No

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

Authorized official

Name

Charles Y Jin

Title

MD

Phone

(917) 602-0065

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1134369705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220284",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110220284",
            "telephone_number": "917-602-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 DORSET RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110201702",
            "telephone_number": "917-602-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES JIN MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "JIN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "917-602-0065"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "222414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Chang, OTR/L
• Daniel Chang, DPT
• Patrick S. Chang, M.D.
• Jennifer Chao, MD
• Cordell Carmeleta Chapman, PT
• Steven H Charno, MD
• Malvika Chauhan, PT
• Ron Chazbani, DPT
• Joshua Chee
• Ailian Chen, MD

• Psychiatry Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.