Individual provider Active NPI

Pei-Wei Linda Lin, DMD

  • General Practice Dentistry
  • Rochester, NY
National Provider Identifier
1679575153
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
051074 Issued in NY
Practice address
2655 Ridgeway Ave Ste 360
Rochester, NY 14626-4296
Phone
(585) 295-1890
Fax
(585) 295-1898
NPI assigned
Aug 13, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS037024 PA
General Practice Dentistry 1223G0001X 051074 NY Primary

Addresses

Primary practice location

2655 Ridgeway Ave Ste 360
Rochester, NY 14626-4296

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-1900

Other practice location 1

2226 Penfield Rd
Penfield, NY 14526-1922
Phone (585) 377-5810

Other practice location 2

2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 318-0284

Other practice location 3

606 Ann St
Stroudsburg, PA 18360-2015
Phone (570) 421-2320

Other practice location 4

1455 E Ridge Rd
Rochester, NY 14621-2006
Phone (585) 922-4103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240507000146 NY Practitioner - Dentist 0446690507 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
051074NYMDGeneral Practice Dentistry
DS037024PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Mar 30, 2024 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Western New York Medical Practice P.C CurrentSince Mar 30, 2024 Accepting new patients
The Unity Hospital of Rochester CurrentSince May 4, 2024 Accepting new patients
The Unity Hospital of Rochester PastSince Mar 17, 2024 Accepting new patients

Locations

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

2226 Penfield Rd
Penfield, NY 14526
Phone (585) 388-5280

2655 Ridgeway Ave
Ste 360
Rochester, NY 14626
Phone (585) 295-1890

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1455 E Ridge Rd
Rochester, NY 14621
Phone (585) 922-4103

Interoperability endpoints

  • Direct secure messaging: plin389586@direct.rochesterregional.org

Organizations & group practices 5

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": "1123891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1679575153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-922-1900",
            "fax_number": "585-922-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 RIDGEWAY AVE STE 360",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264296",
            "telephone_number": "585-295-1890",
            "fax_number": "585-295-1898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2226 Penfield Rd",
            "address_purpose": "LOCATION",
            "city": "Penfield",
            "state": "NY",
            "postal_code": "145261922",
            "country_code": "US",
            "telephone_number": "585-377-5810",
            "fax_number": "585-377-1121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Coulter Rd",
            "address_purpose": "LOCATION",
            "city": "Clifton Springs",
            "state": "NY",
            "postal_code": "144321122",
            "country_code": "US",
            "telephone_number": "315-318-0284",
            "fax_number": "315-318-0998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "606 Ann St",
            "address_purpose": "LOCATION",
            "city": "Stroudsburg",
            "state": "PA",
            "postal_code": "183602015",
            "country_code": "US",
            "telephone_number": "570-421-2320",
            "fax_number": "877-566-8834",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1455 E Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146212006",
            "country_code": "US",
            "telephone_number": "585-922-4103",
            "fax_number": "585-922-4495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "PEI-WEI",
        "middle_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-13",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037024",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.