Individual provider Active NPI

Chia-Wei Lin, RN

  • Registered Nurse
  • Bronx, NY
National Provider Identifier
1508491549
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
714066 Issued in NC
Practice address
735 E 239TH St
Bronx, NY 10466-1231
Phone
(718) 325-5021
NPI assigned
Mar 10, 2020
Last updated
Aug 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403136 NY
Registered Nurse 163W00000X 714066 NC Primary

Addresses

Primary practice location

735 E 239TH St
Bronx, NY 10466-1231

Mailing address

1055 Archer PL
Baldwin, NY 11510-3605
Phone (516) 384-8277

Other practice location 1

2604 3rd Ave
Bronx, NY 10454-1199
Phone (718) 292-0100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chia-wei.lin@gccnyc.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
714066NCMDRegistered Nurse
403136NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Counseling Center, Inc. CurrentSince Mar 22, 2020 Accepting new patients

Locations

735 E 239th St
Bronx, NY 10466
Phone (718) 325-5021

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1508491549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 ARCHER PL",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103605",
            "telephone_number": "516-384-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 E 239TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104661231",
            "telephone_number": "718-325-5021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2604 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104541199",
            "country_code": "US",
            "telephone_number": "718-292-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "CHIA-WEI",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403136",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "714066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chia-wei.lin@gccnyc.org",
            "affiliation": "N",
            "address_1": "735 E 239th St",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104661231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.