Organization Active NPI

Kevin N T Lin, MD., P.C.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1235388612
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KEVIN N T LIN, MD., P.C.
Practice address
198 Canal St Ste 401
New York, NY 10013-4531
Phone
(212) 791-3886
NPI assigned
Sep 10, 2008
Last updated
Feb 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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

Authorized official

Name
Dr. Kevin NT Lin, M.D.NPI 1104953777
Title
Doctor
Phone
(212) 791-3886

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
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

198 Canal St Ste 401
New York, NY 10013-4531

Mailing address

198 Canal St Ste 401
New York, NY 10013-4531
Phone (212) 791-3886

Other identifiers 1

IdentifierTypeStateIssuer
01585597MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090505000380 NY Part B Supplier - Clinic/Group Practice 4183772973 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

198 Canal St
#401
New York, NY 10013
Phone (212) 291-3886

198 Canal St
Ste 401
New York, NY 10013
Phone (212) 791-3886

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1235388612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 CANAL ST STE 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134531",
            "telephone_number": "212-791-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 CANAL ST STE 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134531",
            "telephone_number": "212-791-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN N T LIN, MD., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "NT",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "212-791-3886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01585597",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.