Patrick Bosun Lin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02728100 Issued in NJ

Practice address

5015 Westfield Ave
Pennsauken, NJ 08110-2953

Phone

(856) 665-6050

NPI assigned

Aug 11, 2018

Sex

Male

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

Practice roles

Locations

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.

• Patrick Lin DDS PLLC

  • Dental Clinic/Center
  • Edmonds, WA
  • NPI 1487456687
  NPD Authorized official

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

{
    "created_epoch": "1533945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533945600000",
    "number": "1417436361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 SCHINDLER DR",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085201942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 WESTFIELD AVE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081102953",
            "telephone_number": "856-665-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "PATRICK",
        "middle_name": "BOSUN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-11",
        "last_updated": "2018-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02728100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Thomas Leiby, D.D.S.
• Aaron Lewis, RN
• Lickfield Medical Associates
• Neil K Liebman, DC,C.C.S.T.
• Life at Lourdes Inc
• Elizabeth M Linette, CSN, MSN, RN
• Dana Marie Liston, M.S. CCC-SLP
• Clarice Little
• Genesis Littlejohn
• Live Well Home Care LLC

• General Practice Dentistry in Pennsauken, NJ
• Providers in Pennsauken, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2018; 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.