Yan Jin, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

010004-01 Issued in NY

Practice address

3929 New Utrecht Ave Apt 3a
Brooklyn, NY 11219-1868

Phone

(347) 403-3063

NPI assigned

Dec 22, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1326750183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 13TH AVE # 356",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112285018",
            "telephone_number": "347-403-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 NEW UTRECHT AVE APT 3A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112191868",
            "telephone_number": "347-403-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIN",
        "first_name": "YAN",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "010004-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fenghua Jin
• Frances Jin
• Michael Jin, MD
• Tianjiao Jin, MD
• Xiaochun Jin, PH.D.
• Zhida Allan Jin, MD
• Samantha L Jines
• Sarah Jirari
• Makenzi Jismeis
• Narinder Jit, PA-C

• Occupational Therapy Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.