Sophia Vivian Lin, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X011650-1 Issued in NY

Practice address

379 Old Town Rd
Port Jefferson Station, NY 11776-2245

Phone

(631) 680-7368

NPI assigned

Feb 25, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1235308172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 WESTCHESTER DR",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117788875",
            "telephone_number": "631-680-7368",
            "fax_number": "631-928-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 OLD TOWN RD",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762245",
            "telephone_number": "631-680-7368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "SOPHIA",
        "middle_name": "VIVIAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-25",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011650-1",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "NY",
            "license": "X011650-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Liebold, PA-C
• Maryana Liedke, DO
• Lifeskillsandpsychotherapy Services, PC
• Jody Lin, PHARMD/MBA
• Patricia Lin
• Kathleen Lindahl, LCSW
• Amelia Tresa Linsalata, ATC
• Robin Lee Lisanti, LCSWR
• Craig Michael Litman, M.D.
• Richard Steven Litman, M.D.

• Chiropractor in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.