Myles Jen Kin, D.O.

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

License

262035 Issued in MA

Practice address

9 Village Inn Rd
Westminster, MA 01473-1643

Phone

(978) 223-9266

NPI assigned

Jun 2, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA, RI2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Baystate Medical Practices, Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Springfield, MA
  • NPI 1548205909
  Medicare reassignment NPD
• Steward Emergency Physicians, Inc

  • Emergency Medicine Physician
  • Ayer, MA
  • NPI 1780971275
  Medicare reassignment NPD
• Steward Medical Group, Inc

  • Specialist
  • Watertown, MA
  • NPI 1629398219
  Medicare reassignment NPD
• LMW Healthcare Inc.

  • General Acute Care Hospital
  • Westerly, RI
  • NPI 1447595368

  Emergency Medicine

  Medicare reassignment NPD
• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1356654495
  NPD
• LMW Healthcare Inc.

  • Psychiatric Hospital Unit
  • Westerly, RI
  • NPI 1710534961
  NPD
• 75 Lindall Street Opco LLC

  • Substance Abuse Rehabilitation Facility
  • Danvers, MA
  • NPI 1790150548
  NPD (past)
• 9 Village Inn Road Opco LLC

  • Substance Abuse Rehabilitation Facility
  • Westminster, MA
  • NPI 1902354913
  NPD (past)
• Casa Esperanza, Inc.

  • Adult Mental Health Clinic/Center
  • Roxbury, MA
  • NPI 1205060621
  NPD (past)
• Casa Esperanza, Inc.

  • Adult Mental Health Clinic/Center
  • Tewksbury, MA
  • NPI 1447769443
  NPD (past)

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1669766135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 254",
            "city": "LUNENBURG",
            "state": "MA",
            "postal_code": "014620254",
            "telephone_number": "512-666-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 VILLAGE INN RD",
            "city": "WESTMINSTER",
            "state": "MA",
            "postal_code": "014731643",
            "telephone_number": "978-223-9266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "164 High St",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "MA",
            "postal_code": "013012613",
            "country_code": "US",
            "telephone_number": "413-773-4191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "736 Cambridge St",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "021352907",
            "country_code": "US",
            "telephone_number": "617-789-3191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEN KIN",
        "first_name": "MYLES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-02",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "262035",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101019345",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "MA",
            "license": "262035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110103483A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bailey Hollis
• Integrative Health and Mental Wellness PLLC
• Abigail Jackson, DC
• Katie Jackson, PT
• Rosemarie Jackson, LICSW
• Thomas Lee Keene, LMHC
• Barbara Laddaga, LMHC
• Abbey Noel Lake
• Lori Lapointe
• Jennifer G Leblanc

• Addiction Medicine (Preventive Medicine) Physician in Westminster, MA
• Providers in Westminster, MA by specialty
• Addiction Medicine (Preventive Medicine) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.