Active NPI
Chia-Wei Lin, RN
- Registered Nurse
- Bronx, NY
National Provider Identifier
1508491549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 714066
- Practice address
- 735 E 239TH St
Bronx, NY 10466-1231 - Phone
- (718) 325-5021
- NPI assigned
- Mar 10, 2020
- Last updated
- Aug 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 714066 | NC | MD | Registered Nurse |
| 403136 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Counseling Center, Inc. | Current | 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.
-
- Case Management Agency
- Bronx, NY
- NPI 1083811681
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.