Individual provider Active NPI

Pei S Lin, M.D.

  • Otolaryngology Physician
  • North Brunswick, NJ
National Provider Identifier
1609800226
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
25MA02684600 Issued in NJ
Practice address
2864 Highway 27 Ste D
North Brunswick, NJ 08902-5010
Phone
(732) 966-1703
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 25MA02684600 NJ Primary

Addresses

Primary practice location

2864 Highway 27 Ste D
North Brunswick, NJ 08902-5010

Mailing address

2864 Highway 27 Ste D
North Brunswick, NJ 08902-5010
Phone (732) 966-1703

Other identifiers 1

IdentifierTypeStateIssuer
25MA02684600OtherNJLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040628000053 NJ Practitioner - Otolaryngology 1456337799 Reassigns benefits to 1 organization
Practice locations: Jersey City, NJ; North Brunswick, NJ

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2864 Hwy 27
Suite D
North Brunswick, NJ 08902-5010
Phone (732) 966-1703

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA02684600NJMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of New Jersey Omb Centralized Payroll CurrentSince Nov 26, 2017 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince Nov 26, 2017 Accepting new patients

Locations

40 Pittstown Rd
Clinton, NJ 08809
Phone (908) 730-1301

Organizations & group practices 2

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1609800226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2864 HIGHWAY 27 STE D",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089025010",
            "telephone_number": "732-966-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2864 HIGHWAY 27 STE D",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089025010",
            "telephone_number": "732-966-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "PEI",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MA02684600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "25MA02684600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.