Individual provider Active NPI

Angela Markman-Lin, MD

  • Obstetrics & Gynecology Physician
  • Marlboro Township, NJ
National Provider Identifier
1437356961
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA08858400 Issued in NJ
Practice address
479 County Road 520, Marlboro Township, NJ, USA
Suite A202
Marlboro Township, NJ 07746-0774
Phone
(732) 837-1130
Fax
(732) 834-0142
NPI assigned
Jun 28, 2007
Last updated
Jan 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA08858400 NJ Primary

Addresses

Primary practice location

479 County Road 520, Marlboro Township, NJ, USA
Suite A202
Marlboro Township, NJ 07746-0774

Mailing address

300 2ND Ave
Long Branch, NJ 07740-6303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120420000430 NJ Practitioner - Obstetrics/Gynecology 5496916298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

479 Route 520
Suite A202 Atlantic Medical Group
Marlboro, NJ 07746
Phone (732) 837-1130

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08858400NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group Multi-Specialty CurrentSince Jun 22, 2021 Accepting new patients
Centrastate Specialists, P.C. Multi-Specialty CurrentSince Dec 1, 2019 Accepting new patients

Locations

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

21 US Highway 9
Manalapan, NJ 07726
Phone (732) 358-4490

479 Highway 520
Ste A202
Marlboro, NJ 07746
Phone (732) 837-1130

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1437356961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 2ND AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 COUNTY ROAD 520, MARLBORO TOWNSHIP, NJ, USA",
            "address_2": "SUITE A202",
            "city": "MARLBORO TOWNSHIP",
            "state": "NJ",
            "postal_code": "077460774",
            "telephone_number": "732-837-1130",
            "fax_number": "732-834-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKMAN-LIN",
        "first_name": "ANGELA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA08858400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlboro Township, NJ

Sources for this page

Verify at the official NPI Registry.