Linda Su Hyun Ahn, ANP
Individual provider Active NPI Adult Health Nurse Practitioner · New York, NY
NPI 1154567428 · NPPES record last updated Apr 17, 2013
Key facts
- NPI
- 1154567428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- F304903-1 (NY)
- Practice address
- 1 Gustave L Levy PL
New York, NY 10029-6500 - Phone
- (212) 241-6756
- Fax
- (212) 423-0522
- NPI assigned
- Dec 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- New York University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Memorial Solid Tumor Group
Practice addresses (Care Compare)
1275 York Ave
New York, NY 10021-6007
Phone (212) 639-2131
Hospital & facility affiliations
- Memorial Hospital for Cancer and Allied Diseases
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.5 of 100
- Quality
- 60.62
- Improvement activities
- 40
- Cost
- 73.87
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131001000425 | NY | Practitioner - Nurse Practitioner | 1759515968 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F304903-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles (1 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Solid Tumor Group | Current |
Accepting new patients |
Locations
633 3rd Ave
New York, NY 10017
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- lahn36213@mskcc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F304903-1 | NY | Yes |
Addresses
Primary practice location
1 Gustave L Levy PL
New York, NY 10029-6500
Mailing address
1 Gustave L Levy PL
Box 3000
New York, NY 10029-6500
Phone (212) 987-3100
Other providers in New York, NY
- Jennifer Ahn
- Jennifer Jane Ahn
- Jong Seok Ahn
- Jung Hwan Ahn
- Leah Y Ahn
- Nancy Jiyoung Ahn
- Sarah Ahn
- So Jung Ahn
- Suchul Ahn
- Taemin Andrew Ahn
All providers in New York, NY · Adult Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.