Boss Lin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

063997 Issued in NY

Practice address

1504 Avenue U
Brooklyn, NY 11229-3808

Phone

(718) 336-4521

NPI assigned

Mar 6, 2023

Sex

Male

Sole proprietor

No

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": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1427758879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1001",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100020912",
            "telephone_number": "646-240-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293808",
            "telephone_number": "718-336-4521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3708 Main St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113546536",
            "country_code": "US",
            "telephone_number": "718-886-5683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "BOSS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-06",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "063997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angenis Lin, PA-C
• Anita Lin, PA-C
• Annie Lin, CCC-SLP
• Anthony Lin
• Bo Lin
• Caiyun Lin
• Cheng Wan Lin
• Chiajung Lin
• Chou-Jui Lin, MD
• Congrong Lin, MD

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.