Individual provider Active NPI

Nini Tin, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Castle Point, NY
National Provider Identifier
1760440747
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
227352 Issued in NY
Practice address
VA Hudson Valley HCS, PM&R/Sci Services
Route 9, Castle Point Campus
Castle Point, NY 12511
Phone
(845) 831-2000
Fax
(845) 838-5184
NPI assigned
May 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 227352 NY Primary

Addresses

Primary practice location

VA Hudson Valley HCS, PM&R/Sci Services
Route 9, Castle Point Campus
Castle Point, NY 12511

Mailing address

49 Woodland Dr
Pleasantville, NY 10570-3610
Phone (914) 747-6047

Other identifiers 1

IdentifierTypeStateIssuer
02427654MedicaidNY

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

LicenseStateTypeSpecialty
227352NYMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760440747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 WOODLAND DR",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105703610",
            "telephone_number": "914-747-6047",
            "fax_number": "914-747-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA HUDSON VALLEY HCS, PM&R/SCI SERVICES",
            "address_2": "ROUTE 9, CASTLE POINT CAMPUS",
            "city": "CASTLE POINT",
            "state": "NY",
            "postal_code": "12511",
            "telephone_number": "845-831-2000",
            "fax_number": "845-838-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIN",
        "first_name": "NINI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "227352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02427654",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.