Organization Active NPI

K. Jacob Cohen-Kashi MD & Lawrence C. Lin MD PLLC

  • Plastic Surgery Physician
  • Great Neck, NY
National Provider Identifier
1194988089
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
248595 Issued in NY
Legal business name
K. JACOB COHEN-KASHI MD & LAWRENCE C. LIN MD PLLC
Practice address
833 Northern Blvd
Suite 110
Great Neck, NY 11021-5315
Phone
(516) 472-2110
NPI assigned
Jul 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Dr. Lawrence C Lin, M.D.NPI 1679688378
Title
Member
Phone
(516) 472-2110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 248595 NY Primary

Addresses

Primary practice location

833 Northern Blvd
Suite 110
Great Neck, NY 11021-5315

Mailing address

833 Northern Blvd
Suite 110
Great Neck, NY 11021-5315
Phone (516) 472-2110

Other names 1

  • North Shore Center for Plastic Surgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081121000140 NY Part B Supplier - Clinic/Group Practice 1355401290 Receives reassigned benefits from 2 practitioners
Practice locations: Great Neck, NY

National Provider Directory

National Provider Directory

Locations

833 Northern Blvd
Ste 110
Great Neck, NY 11021
Phone (516) 472-2110

11 Grace Ave
Great Neck, NY 11021
Phone (516) 472-2110

325 Meeting House Ln
Ste J
Southampton, NY 11968
Phone (516) 283-3131

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1194988089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 NORTHERN BLVD",
            "address_2": "SUITE 110",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215315",
            "telephone_number": "516-472-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 NORTHERN BLVD",
            "address_2": "SUITE 110",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215315",
            "telephone_number": "516-472-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K. JACOB COHEN-KASHI MD & LAWRENCE C. LIN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-472-2110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "248595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Shore Center for Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.