Individual provider Active NPI

Annie Lin, DO

  • Family Medicine Physician
  • Montville, NJ
National Provider Identifier
1639566086
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2MB10175700 Issued in NJ
Practice address
329 Main Rd
Montville, NJ 07045-9729
Phone
(973) 334-9404
Fax
(973) 334-7615
NPI assigned
Apr 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2MB10175700 NJ Primary

Addresses

Primary practice location

329 Main Rd
Montville, NJ 07045-9729

Mailing address

329 Main Rd
Montville, NJ 07045-9729
Phone (973) 334-9404

Other practice location 1

176 Palisade Ave
Jersey City, NJ 07306-1121
Phone (201) 795-8201

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
I20251208000512 NJ Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 9638662653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Rowan University School of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group, PCGroup PAC ID 0648172809, 257 clinicians

Practice addresses (Care Compare)

222 Columbia Tpke
Florham Park, NJ 07932-1299
Phone (973) 322-4549

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2MB10175700NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group, PC CurrentSince Sep 26, 2025 Accepting new patients

Locations

222 Columbia Tpke
Florham Park, NJ 07932
Phone (973) 261-9077

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

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": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1639566086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 MAIN RD",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459729",
            "telephone_number": "973-334-9404",
            "fax_number": "973-334-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 MAIN RD",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459729",
            "telephone_number": "973-334-9404",
            "fax_number": "973-334-7615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 Palisade Ave",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073061121",
            "country_code": "US",
            "telephone_number": "201-795-8201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "ANNIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "2MB10175700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montville, NJ

Sources for this page

Verify at the official NPI Registry.