Active NPI
Tsen-Tsen Jin, MD
- Interventional Pain Medicine Physician
- New York, NY
National Provider Identifier
1366468274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 2038671
- Practice address
- 139 Centre St
Suite 614
New York, NY 10013-4552 - Phone
- (212) 566-3486
- Fax
- (212) 285-1967
- NPI assigned
- Jul 14, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2038671 | NY | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 2038671 | NY | |
| Interventional Pain Medicine Physician | 208VP0014X | 2038671 | NY | Primary |
Addresses
Primary practice location
139 Centre St
Suite 614
New York, NY 10013-4552
Mailing address
139 Centre St
Suite 614
New York, NY 10013-4552
Phone (212) 566-3486
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01761137 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
139 Centre St
Suite 614
New York, NY 10013-4556
Phone (212) 566-3486
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2038671 | NY | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Tsen-Tsen Jin Medical P.C. | Current | Accepting new patients |
Locations
139 Centre St
Ste 614
New York, NY 10013
Phone (212) 566-3486
Organizations & group practices 1
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.
-
- Pain Medicine (Anesthesiology) Physician
- New York, NY
- NPI 1598040222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383091200000",
"number": "1366468274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 CENTRE ST",
"address_2": "SUITE 614",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134552",
"telephone_number": "212-566-3486",
"fax_number": "212-285-1967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 CENTRE ST",
"address_2": "SUITE 614",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134552",
"telephone_number": "212-566-3486",
"fax_number": "212-285-1967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIN",
"first_name": "TSEN-TSEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2013-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "2038671",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NY",
"license": "2038671",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NY",
"license": "2038671",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01761137",
"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 Oct 30, 2013; 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.