Individual provider Active NPI

Annie Jin, MD

  • Dermatology Physician
  • Macungie, PA
National Provider Identifier
1992333991
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD488060 Issued in PA
Practice address
3760 Brookside Rd
Macungie, PA 18062-1741
Phone
(610) 770-2708
NPI assigned
Mar 27, 2020
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X MD488060 PA
Dermatopathology Physician 207ND0900X C1-0029316 DE
Dermatology Physician 207N00000X MD488060 PA Primary
Dermatopathology Physician 207ND0900X D0106121 MD
Dermatology Physician 207N00000X C1-0029316 DE
Dermatology Physician 207N00000X D0106121 MD

Addresses

Primary practice location

3760 Brookside Rd
Macungie, PA 18062-1741

Mailing address

3760 Brookside Rd
Macungie, PA 18062-1741
Phone (610) 620-2402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250828005035 PA Practitioner - DermatologyPractitioner - Pathology 3375945686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
Temple University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennsylvania Dermatology Partners IncGroup PAC ID 3274794268, 75 clinicians

Practice addresses (Care Compare)

3760 Brookside Rd
Macungie, PA 18062-1741
Phone (610) 770-2708

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions40
Removal of nail tissue1-10
Skin biopsy53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD488060PAMDDermatology Physician
D0106121MDMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Dermatology Partners Inc Dermatology CurrentSince Sep 2, 2025 Accepting new patients

Locations

1950 Street Rd
Ste 100
Bensalem, PA 19020
Phone (215) 639-7546

258 Ben Franklin Hwy E
Birdsboro, PA 19508
Phone (610) 288-2918

3760 Brookside Rd
Macungie, PA 18062
Phone (610) 770-2708

525 Jamestown St
Ste 205
Philadelphia, PA 19128
Phone (215) 483-2400

2023 E High St
Pottstown, PA 19464
Phone (610) 323-1550

Interoperability endpoints

  • Direct secure messaging: ajin@pennderm.emadirect.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1992333991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 BROOKSIDE RD",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180621741",
            "telephone_number": "610-620-2402",
            "fax_number": "877-437-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 BROOKSIDE RD",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180621741",
            "telephone_number": "610-770-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIN",
        "first_name": "ANNIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "PA",
            "license": "MD488060",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "DE",
            "license": "C1-0029316",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD488060",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "MD",
            "license": "D0106121",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "DE",
            "license": "C1-0029316",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0106121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macungie, PA

Sources for this page

Verify at the official NPI Registry.