Chun Ming Lin, N.D., R.PH
Individual provider Active NPI Naturopath · Ridgewood, NY
NPI 1164670840 · NPPES record last updated Jan 5, 2016
Key facts
- NPI
- 1164670840
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- 680 (WA)
- Practice address
- 5324 Metropolitan Ave
Suite M1C (Lower Level)
Ridgewood, NY 11385-1245 - Phone
- (866) 800-2873
- Fax
- (866) 244-1294
- NPI assigned
- Sep 5, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220 | CA | MD | Dental Hygienist |
| 680 | WA | MD | Naturopath |
| 037945 | NY | MD | Pharmacist |
| 15468 | WA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 680 | WA | Yes |
| Naturopath | 175F00000X | 220 | CA | |
| Pharmacist | 183500000X | 037945 | NY | |
| Pharmacist | 183500000X | 15468 | WA |
Addresses
Primary practice location
5324 Metropolitan Ave
Suite M1C (Lower Level)
Ridgewood, NY 11385-1245
Mailing address
5324 Metropolitan Ave
Suite M1C (Lower Level)
Ridgewood, NY 11385-1245
Phone (866) 800-2873
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02633883 | Medicaid | NY |
Other providers in Ridgewood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.