NPIMap

Individual provider Active NPI

Vanessa Lin, DO

  • Family Medicine Physician
  • East Stroudsburg, PA
National Provider Identifier
1184117111
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS021159 Issued in PA
Practice address
179 Independence Rd FL 2
East Stroudsburg, PA 18301-9207
Phone
(570) 421-3900
Fax
(570) 476-6108
NPI assigned
Jun 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS021159 PA Primary

Addresses

Primary practice location

179 Independence Rd FL 2
East Stroudsburg, PA 18301-9207

Mailing address

179 Independence Rd FL 2
East Stroudsburg, PA 18301-9207

Other practice location 1

1791 Airport Rd
Allentown, PA 18109-9528
Phone (610) 264-5844

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211223000456 PA Practitioner - Family Practice 7810388014 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rowan University School of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1791 Airport Rd
Allentown, PA 18109-9528
Phone (484) 240-8195

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS021159PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Family Medicine Current Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Feb 9, 2023 Accepting new patients
Family Care Centers Inc Family Medicine CurrentSince Dec 13, 2021 Accepting new patients
Family Care Centers Inc. Family Medicine Current Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Feb 9, 2023 Accepting new patients
Schuylkill Health System Medical Group, Inc. Family Medicine CurrentSince Dec 2, 2022 Accepting new patients
Schuylkill Health System Medical Group, Inc. Family Medicine CurrentSince Dec 2, 2022 Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

1791 Airport Rd
Allentown, PA 18109
Phone (484) 240-8195

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

179 Independence Rd
East Stroudsburg, PA 18301
Phone (570) 421-8526

179 Independence Rd
Fl 2
East Stroudsburg, PA 18301
Phone (570) 421-3900

500 Plaza Ct
Ste A
East Stroudsburg, PA 18301
Phone (570) 424-9970

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

200 Schuylkill Medical Plz
Pottsville, PA 17901
Phone (570) 621-9200

Organizations & group practices 9

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.

Hospital & facility affiliations 7

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": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1184117111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 INDEPENDENCE RD FL 2",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 INDEPENDENCE RD FL 2",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019207",
            "telephone_number": "570-421-3900",
            "fax_number": "570-476-6108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1791 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181099528",
            "country_code": "US",
            "telephone_number": "610-264-5844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "VANESSA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS021159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.