Individual provider Active NPI

Ben Lin Da, M.D.

  • Hepatology Physician
  • Jersey City, NJ
National Provider Identifier
1174866040
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hepatology PhysicianTaxonomy code 207RI0008X
License
133137 Issued in CA
Practice address
45 Park LN S Apt 807
Jersey City, NJ 07310-3107
Phone
(908) 642-4301
Fax
(760) 227-5203
NPI assigned
Mar 29, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 133137 CA
Hepatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0008X 133137 CA Primary

Addresses

Primary practice location

45 Park LN S Apt 807
Jersey City, NJ 07310-3107

Mailing address

45 Park LN S Apt 807
Jersey City, NJ 07310-3107
Phone (908) 866-6418

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
304341NYMDLicensed Practical Nurse
133137CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients

Locations

6323 7th Ave
Brooklyn, NY 11220
Phone (718) 283-6980

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

Interoperability endpoints

  • Direct secure messaging: benda@mai.allscriptsdirect.net
  • Direct secure messaging: benda@nslijmedgr.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1174866040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 PARK LN S APT 807",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073103107",
            "telephone_number": "908-866-6418",
            "fax_number": "760-227-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 PARK LN S APT 807",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073103107",
            "telephone_number": "908-642-4301",
            "fax_number": "760-227-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DA",
        "first_name": "BEN",
        "middle_name": "LIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-29",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "133137",
            "primary": false
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hepatology",
            "state": "CA",
            "license": "133137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.