Individual provider Active NPI

Hui Lin, PA-C

  • Physician Assistant
  • Monticello, NY
National Provider Identifier
1912617895
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
110 Bridgeville Rd
Monticello, NY 12701-3829
Phone
(845) 794-3030
NPI assigned
Dec 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

110 Bridgeville Rd
Monticello, NY 12701-3829

Mailing address

110 Bridgeville Rd
Monticello, NY 12701-3829
Phone (845) 794-3030

Other practice location 1

1997 Ny 17M
Goshen, NY 10924
Phone (845) 294-6123

Other practice location 2

4801 Dorsey Hall Dr Ste 140
Ellicott City, MD 21042-7703
Phone (410) 992-4100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Hui.Lin@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230925000820 NY Practitioner - Physician Assistant 8022462183 Reassigns benefits to 1 organization
I20241018000720 MD Practitioner - Physician Assistant 8022462183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

4801 Dorsey Hall Dr
Suite 140
Ellicott City, MD 21042-7703
Phone (410) 992-4100

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
029992NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Sep 27, 2024 Accepting new patients
Forefront Dermatology SC CurrentSince Sep 27, 2024 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients

Locations

10910 Little Patuxent Pkwy
Ste 205
Columbia, MD 21044
Phone (410) 772-0707

4801 Dorsey Hall Dr
Ste 140
Ellicott City, MD 21042
Phone (410) 992-4100

106 Milford St
Ste 302
Salisbury, MD 21804
Phone (410) 546-4431

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Networks

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

Interoperability endpoints

  • Direct secure messaging: hui.lin@forefrontdermatology.emadirect.md

Organizations & group practices 5

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": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1912617895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BRIDGEVILLE RD",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127013829",
            "telephone_number": "845-794-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BRIDGEVILLE RD",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127013829",
            "telephone_number": "845-794-3030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1997 NY 17M",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "NY",
            "postal_code": "10924",
            "country_code": "US",
            "telephone_number": "845-294-6123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 Dorsey Hall Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210427703",
            "country_code": "US",
            "telephone_number": "410-992-4100",
            "fax_number": "410-992-4170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "HUI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Hui.Lin@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "4801 Dorsey Hall Dr Ste 140",
            "city": "Ellicott City",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210427703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monticello, NY

Sources for this page

Verify at the official NPI Registry.