Individual provider Active NPI

Chih-Wen Lin, AU.D.

  • Audiologist
  • Watertown, NY
National Provider Identifier
1912628314
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
003107 Issued in NY
Practice address
53-59 Public SQ Ste 202
Watertown, NY 13601-2674
Phone
(315) 786-3225
Fax
(315) 786-3215
NPI assigned
Sep 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 003107 NY Primary

Addresses

Primary practice location

53-59 Public SQ Ste 202
Watertown, NY 13601-2674

Mailing address

53-59 Public SQ Ste 202
Watertown, NY 13601-2674
Phone (315) 786-3225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230831003629 NY Practitioner - Qualified Audiologist 9032582374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Coast Audiology and Physical Therapy PLLCGroup PAC ID 8820488547, 14 clinicians

Practice addresses (Care Compare)

53 -59 Public SQ
Suite 202
Watertown, NY 13601-2674
Phone (315) 786-3225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003107NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
East Coast Audiology and Physical Therapy, PLLC Audiologist CurrentSince Jul 15, 2023 Accepting new patients
Watertown Audiology PC CurrentSince Jul 15, 2023 Accepting new patients

Locations

544 Towne Dr
Fayetteville, NY 13066
Phone (315) 637-8800

53-59 Public Sq
Ste 202
Watertown, NY 13601
Phone (315) 786-3225

Organizations & group practices 2

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": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1912628314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53-59 PUBLIC SQ STE 202",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012674",
            "telephone_number": "315-786-3225",
            "fax_number": "315-786-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53-59 PUBLIC SQ STE 202",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012674",
            "telephone_number": "315-786-3225",
            "fax_number": "315-786-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "CHIH-WEN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "003107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.