Individual provider Active NPI

James Lin, MD

  • Ophthalmology Physician
  • Hauppauge, NY
National Provider Identifier
1164764544
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME132155 Issued in FL
Practice address
200 Motor Pkwy Ste A2
Hauppauge, NY 11788-5112
Phone
(631) 234-5666
Fax
(631) 234-0539
NPI assigned
Mar 23, 2013
Last updated
Oct 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME132155 FL Primary

Addresses

Primary practice location

200 Motor Pkwy Ste A2
Hauppauge, NY 11788-5112

Mailing address

600 Northern Blvd
Ste 216
Great Neck, NY 11021-5200
Phone (631) 234-5666

Other practice location 1

3808 Union St Ste 3B
Flushing, NY 11354-5544
Phone (718) 673-8070

Other practice location 2

9131 Queens Blvd Ste 209
Elmhurst, NY 11373-5511
Phone (718) 793-6430

Other practice location 3

64 N Long Beach Rd
Rockville Centre, NY 11570-5030
Phone (516) 594-1010

Other practice location 4

600 Northern Blvd Ste 216
Great Neck, NY 11021-5200
Phone (516) 466-0390

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jlin@vrc.intellechartdirect.net Long Island Vitreo Retinal Consultants PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190717000148 NY Practitioner - Ophthalmology 1456625839 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Island Vitreo Retinal Consultants PCGroup PAC ID 1355232158, 20 clinicians

Practice addresses (Care Compare)

600 Northern Blvd
Great Neck, NY 11021-5200
Phone (516) 466-0390

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.9 of 100Reported as group
Quality
99.81
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Ophthalmology CurrentSince Jun 21, 2019 Accepting new patients
Montefiore Medical Center CurrentSince Jun 21, 2019 Accepting new patients
Long Island Vitreo Retinal Consultants PC Ophthalmology CurrentSince Jul 1, 2021 Accepting new patients
Long Island Vitreo Retinal Consultants PC Ophthalmology Past Accepting new patients
University of Miami Past Accepting new patients
Long Island Vitreo Retinal Consultants Ophthalmology PastSince Mar 4, 2021 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

3332 Rochambeau Ave
Ste 3RD
Bronx, NY 10467

9131 Queens Blvd
Ste 209
Elmhurst, NY 11373
Phone (718) 793-6430

3808 Union St
Ste 3B
Flushing, NY 11354
Phone (718) 673-8070

600 Northern Blvd
Ste 216
Great Neck, NY 11021
Phone 5164660390204

200 Motor Pkwy
Ste A2
Hauppauge, NY 11788
Phone (631) 234-5666

64 N Long Beach Rd
Rockville Ctr, NY 11570
Phone (516) 594-1010

1600 Stewart Ave
Ste 411
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1363996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1164764544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NORTHERN BLVD",
            "address_2": "STE 216",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215200",
            "telephone_number": "631-234-5666",
            "fax_number": "631-234-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MOTOR PKWY STE A2",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885112",
            "telephone_number": "631-234-5666",
            "fax_number": "631-234-0539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3808 Union St Ste 3B",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113545544",
            "country_code": "US",
            "telephone_number": "718-673-8070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9131 Queens Blvd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113735511",
            "country_code": "US",
            "telephone_number": "718-793-6430",
            "fax_number": "718-793-6321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "64 N Long Beach Rd",
            "address_purpose": "LOCATION",
            "city": "Rockville Centre",
            "state": "NY",
            "postal_code": "115705030",
            "country_code": "US",
            "telephone_number": "516-594-1010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Northern Blvd Ste 216",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110215200",
            "country_code": "US",
            "telephone_number": "516-466-0390",
            "fax_number": "516-829-0520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-23",
        "last_updated": "2021-10-08",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME132155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlin@vrc.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Long Island Vitreo Retinal Consultants PC",
            "address_1": "600 Northern Blvd Ste 216",
            "city": "Great Neck",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110215200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.