Individual provider Active NPI

Jenny Lin, M.D.

  • Pediatric Pulmonology Physician
  • Yonkers, NY
National Provider Identifier
1881985901
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
274365 Issued in NY
Practice address
300 Corporate Blvd S
Yonkers, NY 10701-6862
Phone
(914) 294-6300
NPI assigned
Apr 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 274365 NY
Pediatric Pulmonology Physician 2080P0214X 274365 NY Primary

Addresses

Primary practice location

300 Corporate Blvd S
Yonkers, NY 10701-6862

Mailing address

300 Corporate Blvd S
Yonkers, NY 10701-6862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190322000222 NY Practitioner - Pulmonary DiseasePractitioner - Pediatric Medicine 1759621188 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
274365NYMDPediatric Pulmonology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bronxcare Health System Pediatrics CurrentSince Mar 1, 2019 Accepting new patients
Bronxcare Health System CurrentSince Mar 1, 2019 Accepting new patients
Bronxcare Health System Past Accepting new patients

Locations

1650 Grand Concourse
Fl 3
Bronx, NY 10457
Phone (718) 518-5046

1276 Fulton Ave
Rm 228
Bronx, NY 10456

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

Networks

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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1303516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1881985901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CORPORATE BLVD S",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107016862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CORPORATE BLVD S",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107016862",
            "telephone_number": "914-294-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "JENNY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-23",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "274365",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "NY",
            "license": "274365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.