Active NPI
Juan Lin, D.O.
- Hospitalist Physician
- Glen Cove, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 276056
- Practice address
- 101 Saint Andrews LN
Glen Cove, NY 11542-2254 - Phone
- (631) 997-8768
- NPI assigned
- Mar 29, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 276056 | NY | Primary |
| Internal Medicine Physician | 207R00000X | 276056 | NY |
Addresses
Primary practice location
101 Saint Andrews LN
Glen Cove, NY 11542-2254
Mailing address
9 Sunrise St
Plainview, NY 11803-4612
Phone (631) 997-8768
Other practice location 1
6144 Route 25a
Ste 13
Wading River, NY 11792-2008
Phone (631) 728-4653
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Saint Andrews LN
Suite 1
Glen Cove, NY 11542-2254
Phone (516) 674-1812
6144 Route 25a
Suite 13
Wading River, NY 11792-2008
Phone (516) 433-8106
Hospital & facility affiliations
- Northwell Hospital Glen Cove
- North Shore University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 276056 | NY | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Internal Medicine | Current | Accepting new patients |
| Island Comprehensive Care Inc. | Internal Medicine | Current | Accepting new patients |
| Glen Cove Hospital | Past | Accepting new patients |
Locations
101 Saint Andrews Ln
Fl 1
Glen Cove, NY 11542
Phone (516) 674-1812
101 Saint Andrews Ln
Glen Cove, NY 11542
Phone (516) 674-7300
300 Community Dr
Plandome, NY 11030
6144 Route 25A
Ste 13
Wading River, NY 11792
Phone (516) 433-8106
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
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.
-
- Internal Medicine Physician
- Wading River, NY
- NPI 1285104257
-
- General Acute Care Hospital
- Glen Cove, NY
- NPI 1295743060
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glen Cove, NY
- NPI 1295743060
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1689963753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 SUNRISE ST",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118034612",
"telephone_number": "631-997-8768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SAINT ANDREWS LN",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422254",
"telephone_number": "631-997-8768"
}
],
"practiceLocations": [
{
"address_1": "6144 ROUTE 25A",
"address_2": "STE 13",
"address_purpose": "LOCATION",
"city": "WADING RIVER",
"state": "NY",
"postal_code": "117922008",
"country_code": "US",
"telephone_number": "631-728-4653",
"fax_number": "631-728-4749",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIN",
"first_name": "JUAN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-29",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "276056",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "276056",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Cove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.