Individual provider Active NPI

Liwu Lin, L.AC.

  • Acupuncturist
  • Flushing, NY
National Provider Identifier
1578021614
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
006081 Issued in NY
Practice address
13249 41St Rd Ste C1
Flushing, NY 11355-4286
Phone
(929) 375-7802
Fax
(929) 577-4767
NPI assigned
Mar 7, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 006081 NY Primary

Addresses

Primary practice location

13249 41St Rd Ste C1
Flushing, NY 11355-4286

Mailing address

13668 Roosevelt Ave, Room 802
Flushing, NY 11354-1234
Phone (929) 375-7802

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

State licenses

LicenseStateTypeSpecialty
006081NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Service Group Corp Current Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1578021614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13668 ROOSEVELT AVE, ROOM 802",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541234",
            "telephone_number": "929-375-7802",
            "fax_number": "929-577-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13249 41ST RD STE C1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554286",
            "telephone_number": "929-375-7802",
            "fax_number": "929-577-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "LIWU",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-07",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006081",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 21, 2023; 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.