Active NPI
David Lin, M.D.
- Emergency Medicine Physician
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A167318
- Practice address
- 30 Prospect Ave
3Rd Floor, Main Building Room 3682
Hackensack, NJ 07601 - Phone
- (551) 996-2331
- NPI assigned
- Jun 17, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A167318 | CA | Primary |
| Emergency Medicine Physician | 207P00000X | 25MA10289900 | NJ | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
30 Prospect Ave
3Rd Floor, Main Building Room 3682
Hackensack, NJ 07601
Mailing address
30 Prospect Ave
3Rd Floor, Main Building Room 3682
Hackensack, NJ 07601-1915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Drexel University College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cep America - California
Practice addresses (Care Compare)
2500 Grant Rd
Mountain View, CA 94040-4302
Phone (650) 940-7000
Hospital & facility affiliations
- El Camino Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A167318 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Signify Health Medical Associates of New Jersey, LLC | Current | Accepting new patients | |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Ihpnj ER LLC | Emergency Medicine | Current | Accepting new patients |
| El Camino Health Medical Network, LLC | Current | Accepting new patients | |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Garden State Healthcare Associates, LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Hudson Hospital Opco LLC | Current | Accepting new patients | |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| El Camino Health Medical Group | Past | Accepting new patients |
Locations
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
19600 Vallco Pkwy
Ste 170
Cupertino, CA 95014
Phone (650) 338-4776
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500
1150 W El Camino Real
Mountain View, CA 94040
Phone (650) 695-5008
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051
29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000
820 Bear Tavern Rd
Ewing, NJ 08628
Phone (415) 205-1229
308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574
176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200
116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- david.lin@direct.christhospital.md
Organizations & group practices 11
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.
-
- Emergency Medicine Physician
- Bayonne, NJ
- NPI 1700014545
-
- Emergency Medicine Physician
- Hoboken, NJ
- NPI 1225750946
-
- General Practice Physician
- Princeton, NJ
- NPI 1174187728
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1023063542
-
- Emergency Medicine Physician
- Santa Ana, CA
- NPI 1548667843
-
- Multi-Specialty Clinic/Center
- San Jose, CA
- NPI 1164880761
-
- General Acute Care Hospital
- Jersey City, NJ
- NPI 1871859306
-
- Emergency Medicine Physician
- Clovis, CA
- NPI 1184997645
-
- Emergency Medicine Physician
- Lynwood, CA
- NPI 1932596848
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
- Geriatric Medicine (Family Medicine) Physician
- Los Gatos, CA
- NPI 1578831764
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1417199340
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1457594087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1306227079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 PROSPECT AVE",
"address_2": "3RD FLOOR, MAIN BUILDING ROOM 3682",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 PROSPECT AVE",
"address_2": "3RD FLOOR, MAIN BUILDING ROOM 3682",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "07601",
"telephone_number": "551-996-2331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-17",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A167318",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MA10289900",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.