Active NPI
Michael S Lin, M.D.
- Anesthesiology Physician
- Williamsville, NY
National Provider Identifier
1699789735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 151023-1
- Practice address
- 30 S Cayuga Rd
Williamsville, NY 14221-6728 - Phone
- (716) 632-1088
- Fax
- (716) 632-7842
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 151023-1 | NY | Primary |
Addresses
Primary practice location
30 S Cayuga Rd
Williamsville, NY 14221-6728
Mailing address
30 S Cayuga Rd
Williamsville, NY 14221-6728
Phone (716) 632-1088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00719053 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 151023-1 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maple Gate Anesthesiologists, P.C. | Anesthesiology | Past | Accepting new patients |
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.
-
- Anesthesiology Physician
- Cheektowaga, NY
- NPI 1528072709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1699789735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 S CAYUGA RD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142216728",
"telephone_number": "716-632-1088",
"fax_number": "716-632-7842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 S CAYUGA RD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142216728",
"telephone_number": "716-632-1088",
"fax_number": "716-632-7842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "MICHAEL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "151023-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00719053",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.