Organization Active NPI

Jeffrey Lin MD LLC

Doing business as New You Medispa

  • Medical Specialty Clinic/Center
  • Howell, NJ
National Provider Identifier
1558921254
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
JEFFREY LIN MD LLC
Doing business as
New You Medispa
Practice address
2360 Route 9 South
Howell, NJ 07731-4017
Phone
(732) 414-6809
Fax
(732) 414-6812
NPI assigned
Jun 17, 2019
Last updated
Oct 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Authorized official

Name
Dr. Jeffrey Mark Lin, MDNPI 1255641197
Title
Physician
Phone
(917) 270-8643

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

2360 Route 9 South
Howell, NJ 07731-4017

Mailing address

5 Curtins Cor
Millstone Township, NJ 08510-1237
Phone (917) 270-8643

Other names 1

  • NEW YOU MEDISPA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200409001999 NJ Part B Supplier - Clinic/Group Practice 8527497700 Receives reassigned benefits from 1 practitioner
Practice locations: Howell, NJ

National Provider Directory

National Provider Directory

Locations

195 Route 9
Ste 101
Manalapan, NJ 07726
Phone (732) 738-4627

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1558921254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CURTINS COR",
            "city": "MILLSTONE TOWNSHIP",
            "state": "NJ",
            "postal_code": "085101237",
            "telephone_number": "917-270-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 ROUTE 9 SOUTH",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077314017",
            "telephone_number": "732-414-6809",
            "fax_number": "732-414-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY LIN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "917-270-8643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW YOU MEDISPA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Howell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.

Verify at the official NPI Registry.