Active NPI
Amy Lin, DDS
- Pediatric Dentistry
- Sea Girt, NJ
National Provider Identifier
1275790610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 22DI02289600
- Practice address
- 2130 Highway 35 Ste 116
Sea Girt, NJ 08750-1010 - Phone
- (732) 974-8801
- NPI assigned
- May 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 22DI02289600 | NJ | Primary |
Addresses
Primary practice location
2130 Highway 35 Ste 116
Sea Girt, NJ 08750-1010
Mailing address
2130 Highway 35 Ste 116
Sea Girt, NJ 08750-1010
Phone (732) 974-8801
Other practice location 1
702 N Beers St Ste 3
Holmdel, NJ 07733-1510
Phone (732) 739-3535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02289600 | NJ | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean Pediatric Smiles | Pediatric Dentistry | Past | Accepting new patients |
| Ocean Pediatric Dental | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Dentistry
- Toms River, NJ
- NPI 1316093495
-
- Pediatric Dentistry
- Toms River, NJ
- NPI 1326706532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592438400000",
"number": "1275790610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 HIGHWAY 35 STE 116",
"city": "SEA GIRT",
"state": "NJ",
"postal_code": "087501010",
"telephone_number": "732-974-8801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 HIGHWAY 35 STE 116",
"city": "SEA GIRT",
"state": "NJ",
"postal_code": "087501010",
"telephone_number": "732-974-8801"
}
],
"practiceLocations": [
{
"address_1": "702 N Beers St Ste 3",
"address_purpose": "LOCATION",
"city": "Holmdel",
"state": "NJ",
"postal_code": "077331510",
"country_code": "US",
"telephone_number": "732-739-3535",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIN",
"first_name": "AMY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-22",
"last_updated": "2020-06-18",
"certification_date": "2020-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NJ",
"license": "22DI02289600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sea Girt, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.