Individual provider Active NPI

Melissa Amy Lin, M.D.

  • Internal Medicine Physician
  • Wyomissing, PA
National Provider Identifier
1689698540
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD068454L Issued in PA
Practice address
2802 Papermill Rd
Wyomissing, PA 19610-1065
Phone
(484) 628-2571
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD068454L PA Primary

Addresses

Primary practice location

2802 Papermill Rd
Wyomissing, PA 19610-1065

Mailing address

PO Box 13579
Reading, PA 19612-3579
Phone (484) 628-0799

Other practice location 1

4885 DeMoss Rd
Suite 200
Reading, PA 19606-9023
Phone (610) 779-0300

Other identifiers 1

IdentifierTypeStateIssuer
0017532210001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20070815000852 PA Practitioner - HospitalistPractitioner - Internal Medicine 9335231711 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD068454LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group CurrentSince Aug 1, 2007 Accepting new patients
Tower Health Medical Group CurrentSince Aug 1, 2007 Accepting new patients

Locations

4885 Demoss Rd
Ste 200
Reading, PA 19606
Phone (610) 779-0300

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

2802 Papermill Rd
Wyomissing, PA 19610
Phone (484) 628-2571

950B N Wyomissing Blvd
Wyomissing, PA 19610
Phone (610) 898-1820

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Organizations & group practices 3

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1689698540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579",
            "telephone_number": "484-628-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 PAPERMILL RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101065",
            "telephone_number": "484-628-2571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4885 DeMoss Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "PA",
            "postal_code": "196069023",
            "country_code": "US",
            "telephone_number": "610-779-0300",
            "fax_number": "610-779-8083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "MELISSA",
        "middle_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD068454L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017532210001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.