Active NPI
Jershang Lin
- Nephrology Physician
- New Hartford, NY
National Provider Identifier
1750618906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 115234
- Practice address
- 58 Janet Ter
New Hartford, NY 13413-2844 - Phone
- (315) 797-6090
- NPI assigned
- Nov 9, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 115234 | NY | Primary |
Addresses
Primary practice location
58 Janet Ter
New Hartford, NY 13413-2844
Mailing address
58 Janet Ter
New Hartford, NY 13413-2844
Phone (315) 797-6090
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115234 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mohawk Valley Nephrology Associates, LLP | Nephrology | 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.
-
dba Mohawk Valley Nephrology Associates
- Nephrology Physician
- Utica, NY
- NPI 1548287329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257724800000",
"number": "1750618906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 JANET TER",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134132844",
"telephone_number": "315-797-6090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 JANET TER",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134132844",
"telephone_number": "315-797-6090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "JERSHANG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-09",
"last_updated": "2009-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "115234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Hartford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.