Jeffrey M Lin MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD-11056 Issued in HI

Legal business name

JEFFREY M LIN MD LLC

Practice address

321 N Kuakini St Ste 607
Honolulu, HI 96817-2361

Phone

(808) 824-0411

Fax

(808) 523-5632

NPI assigned

Sep 12, 2016

Organization subpart

No

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

Authorized official

Name

David Kobashigawa

Title

Office Manager

Phone

(808) 523-5623

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey M Lin, MD, MPH

  • Family Medicine Physician
  • Pearl Harbor, HI
  • NPI 1235224635
  Medicare reassignment NPD
• Kelsey Mieko Miyasato-Tanioka, DNP, FNP-BC, APRN-RX

  • Family Nurse Practitioner
  • Waianae, HI
  • NPI 1669188132
  Medicare reassignment NPD
• John Murray, FNP

  • Family Nurse Practitioner
  • Honolulu, HI
  • NPI 1174004725
  Medicare reassignment NPD
• Mieko Suzuki

  • Family Nurse Practitioner
  • Honolulu, HI
  • NPI 1750737458
  Medicare reassignment NPD

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1316495013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST STE 607",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172361",
            "telephone_number": "808-824-0411",
            "fax_number": "808-523-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST STE 607",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172361",
            "telephone_number": "808-824-0411",
            "fax_number": "808-523-5632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Liliha St",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968173169",
            "country_code": "US",
            "telephone_number": "808-203-0473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEFFREY M LIN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "KOBASHIGAWA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "808-523-5623"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD-11056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD-11056",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanie Li, PH.D., LLC
• Nancy Ann Jeffers, M.D.
• Jeffrey Jason Wong MD Inc
• Jeffrey JK Lee MD Inc
• Jeffrey Lim, MD, Inc.
• Jeffrey M. Lau, M.D., Inc
• Alissa Jelf
• Ayse Gulfem Jelffs, M.D.
• Kelly C Jenei, FNP
• Janiece Jenkins

• Family Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.