Individual provider Active NPI

Shen-Han Lin, D.O.

  • Family Medicine Physician
  • Flushing, NY
National Provider Identifier
1225230154
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
255339 Issued in NY
Practice address
13342 39TH Ave Ste 253
Flushing, NY 11354-4516
Phone
(718) 772-3187
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 255339 NY Primary

Addresses

Primary practice location

13342 39TH Ave Ste 253
Flushing, NY 11354-4516

Mailing address

13342 39TH Ave Ste 253
Flushing, NY 11354-4516

Other practice location 1

83 Maiden Ln
6th Floor
New York, NY 10038-4812
Phone (212) 895-3410

Other practice location 2

83 Maiden Ln
6th Floor
New York, NY 10038-4812
Phone (212) 895-3410

Other identifiers 1

IdentifierTypeStateIssuer
03427745MedicaidNY

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
I20151009001294 NY Practitioner - Family Practice 9830407907 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3712 Prince St
Suite 5a
Flushing, NY 11354-4650
Phone (718) 888-0566

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
255339NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Syosset Family Medicine PC Family Medicine CurrentSince May 28, 2023 Accepting new patients
Shen-Han Lin Medical PC Family Medicine CurrentSince Sep 25, 2018 Accepting new patients
Nassau Health Care Corporation CurrentSince May 15, 2020 Accepting new patients
Brooklyn Family Health Medicine PC Family Medicine Current Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
Ahrc Healthcare Inc. CurrentSince Apr 13, 2015 Accepting new patients
Ahrc Health Care Inc CurrentSince Apr 13, 2015 Accepting new patients

Locations

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

3712 Prince St
Ste 5A
Flushing, NY 11354
Phone (718) 888-0566

13342 39th Ave
Ste 253
Flushing, NY 11354
Phone (718) 772-3187

83 Maiden Ln
Fl 6
New York, NY 10038
Phone (212) 780-2378

6500 Jericho Tpke
Ste Le
Syosset, NY 11791
Phone (845) 593-2236

Networks

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

Organizations & group practices 7

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1225230154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13342 39TH AVE STE 253",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13342 39TH AVE STE 253",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544516",
            "telephone_number": "718-772-3187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "83 Maiden Ln",
            "address_2": "6th Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100384812",
            "country_code": "US",
            "telephone_number": "212-895-3410",
            "fax_number": "212-505-0724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "83 Maiden Ln",
            "address_2": "6th Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100384812",
            "country_code": "US",
            "telephone_number": "212-895-3410",
            "fax_number": "212-505-0724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "SHEN-HAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "255339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03427745",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.