Individual provider Active NPI

Khine Khin Lin Lam, M.D.

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1881127207
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA10900400 Issued in NJ
Practice address
475 Seaview Avenue
Staten Island, NY 10305
Phone
(347) 705-3099
NPI assigned
Apr 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA10900400 NJ Primary
Hospitalist Physician 208M00000X 307485 NY

Addresses

Primary practice location

475 Seaview Avenue
Staten Island, NY 10305

Mailing address

475 Seaview Ave
Staten Island, NY 10305-3436
Phone (347) 705-3099

Other practice location 1

707 E Main St
Middletown, NY 10940-2650
Phone (845) 333-3370

Other practice location 2

68 Harris Bushville Rd
Harris, NY 12742
Phone (845) 333-8484

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address klam74350@direct.garnethealth.org Direct Garnet Health Doctors PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201026002568 NJ Practitioner - Internal Medicine 3274878798 Reassigns benefits to 2 organizations
I20210915001006 NY Practitioner - HospitalistPractitioner - Internal Medicine 3274878798 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians
Ulster Physician Medicine Services PCGroup PAC ID 8527563931, 72 clinicians
Garnet Health Doctors PCGroup PAC ID 8628293545, 165 clinicians

Practice addresses (Care Compare)

375 Seguine Ave
Staten Island, NY 10309-3932
Phone (718) 226-6902

68 Harris Bushville Rd
Monticello, NY 12701-3027
Phone (845) 794-3300

68 Harris Bushville Rd
Harris, NY 12742
Phone (845) 333-8909

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ulster Physician Medicine Services PC Internal Medicine CurrentSince Oct 6, 2025 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Sep 9, 2021 Accepting new patients
Garnet Health Doctors PC CurrentSince Aug 19, 2024 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Jan 25, 2023 Accepting new patients
Hospitalist Physicians of New Jersey PA Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Garnet Health Doctors PC CurrentSince Aug 19, 2024 Accepting new patients
Staten Island University Hospital Past Accepting new patients

Locations

65 James St
Edison, NJ 08820
Phone (732) 321-7010

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

68 Harris Bushville Rd
Monticello, NY 12701
Phone (845) 897-6053

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: klam66261@northwell.direct-ci.com
  • Direct secure messaging: klam74350@direct.garnethealth.org
  • Direct secure messaging: klam1494127@nychhc.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1881127207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053436",
            "telephone_number": "347-705-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 SEAVIEW AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10305",
            "telephone_number": "347-705-3099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 E Main St",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109402650",
            "country_code": "US",
            "telephone_number": "845-333-3370",
            "fax_number": "845-333-3372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "68 Harris Bushville Rd",
            "address_purpose": "LOCATION",
            "city": "Harris",
            "state": "NY",
            "postal_code": "12742",
            "country_code": "US",
            "telephone_number": "845-333-8484",
            "fax_number": "845-333-6981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAM",
        "first_name": "KHINE",
        "middle_name": "KHIN LIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA10900400",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "307485",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "klam74350@direct.garnethealth.org",
            "affiliation": "Y",
            "affiliationName": "Garnet Health Doctors PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "707 E Main St",
            "city": "Middletown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109402650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.