Active NPI
Shen-Han Lin Medical PC
- Family Medicine Physician
- Flushing, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 255339
- Legal business name
- SHEN-HAN LIN MEDICAL PC
- Practice address
- 13342 39TH Ave Ste 253
Flushing, NY 11354-4516 - Phone
- (718) 772-3187
- NPI assigned
- Feb 5, 2018
- Last updated
- Mar 12, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shen-Han Lin, DO
- Title
- Physician
- Phone
- (516) 509-8499
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 255339 | NY | Primary |
Addresses
Primary practice location
13342 39TH Ave Ste 253
Flushing, NY 11354-4516
Mailing address
13342 39TH Ave Ste 253
Flushing, NY 11354-4516
Phone (718) 888-0566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03427745 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
13342 39th Ave
Ste 253
Flushing, NY 11354
Phone (718) 772-3187
3712 Prince St
Ste 5A
Flushing, NY 11354
Phone (718) 888-0566
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Flushing, NY
- NPI 1225230154
-
- Family Nurse Practitioner
- Flushing, NY
- NPI 1942722111
-
- Medical Physician Assistant
- Brooklyn, NY
- NPI 1487041109
-
- Family Nurse Practitioner
- Flushing, NY
- NPI 1255257663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1520812800000",
"number": "1487153425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13342 39TH AVE STE 253",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113544516",
"telephone_number": "718-888-0566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13342 39TH AVE STE 253",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113544516",
"telephone_number": "718-772-3187"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHEN-HAN LIN MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-05",
"last_updated": "2018-03-12",
"status": "A",
"authorized_official_last_name": "LIN",
"authorized_official_first_name": "SHEN-HAN",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "516-509-8499",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "255339",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03427745",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.