Organization Active NPI

Dr. Tsen-Tsen Jin Medical P.C.

  • Pain Medicine (Anesthesiology) Physician
  • New York, NY
National Provider Identifier
1598040222
Registry record updated Nov 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
203867 Issued in NY
Legal business name
DR. TSEN-TSEN JIN MEDICAL P.C.
Practice address
139 Centre St
Suite 614
New York, NY 10013-4552
Phone
(212) 566-3486
Fax
(212) 285-1967
NPI assigned
Oct 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2013

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

Authorized official

Name
Tsen-Tsen Jin, M.D.NPI 1366468274
Title
President of Organization
Phone
(212) 566-3486

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)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 203867 NY Primary

Addresses

Primary practice location

139 Centre St
Suite 614
New York, NY 10013-4552

Mailing address

139 Centre St
Suite 614
New York, NY 10013-4552
Phone (212) 566-3486

Other identifiers 1

IdentifierTypeStateIssuer
01761137MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111024000473 NY Part B Supplier - Clinic/Group Practice 6608049457 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

139 Centre St
Ste 614
New York, NY 10013
Phone (212) 566-3486

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385683200000",
    "number": "1598040222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST",
            "address_2": "SUITE 614",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134552",
            "telephone_number": "212-566-3486",
            "fax_number": "212-285-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST",
            "address_2": "SUITE 614",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134552",
            "telephone_number": "212-566-3486",
            "fax_number": "212-285-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TSEN-TSEN JIN MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2013-11-29",
        "status": "A",
        "authorized_official_last_name": "JIN",
        "authorized_official_first_name": "TSEN-TSEN",
        "authorized_official_title_or_position": "PRESIDENT OF ORGANIZATION",
        "authorized_official_telephone_number": "212-566-3486",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "203867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01761137",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2013; 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.