Active NPI
Mark R Lin
- Internal Medicine Physician
- Langhorne, PA
National Provider Identifier
1861607863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD049747-L
- Practice address
- 1201 Langhorne Newtown Rd
St.Mary Medical Center
Langhorne, PA 19047-1201 - Phone
- (215) 710-2009
- NPI assigned
- May 11, 2007
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD049747-L | PA | Primary |
Addresses
Primary practice location
1201 Langhorne Newtown Rd
St.Mary Medical Center
Langhorne, PA 19047-1201
Mailing address
1 Almond Cir
Princeton JCT, NJ 08550-5116
Phone (609) 897-0465
Other names 1
- Mark Rentsong Lin
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 |
|---|---|---|---|
| MD049747-L | PA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861607863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ALMOND CIR",
"city": "PRINCETON JCT",
"state": "NJ",
"postal_code": "085505116",
"telephone_number": "609-897-0465",
"fax_number": "609-897-1397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 LANGHORNE NEWTOWN RD",
"address_2": "ST.MARY MEDICAL CENTER",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190471201",
"telephone_number": "215-710-2009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "MARK",
"middle_name": "R",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD049747-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARK",
"last_name": "LIN",
"middle_name": "RENTSONG",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Langhorne, PA
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.