Look up the most recent NPI and PECOS records

Anita Lin

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

749 61st St Ste 102, Brooklyn, NY 11220-4211

PECOS Enrollment

Based on the most recent information from CMS, provider Anita Lin is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 9:43 AM.

Profile Details

Provider ID
1003393463
Provider Type
Individual
Full Name
Lin, Anita
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
7/27/2018
Last Updated
5/13/2019

Contact Information

Practice Location

749 61st St Ste 102, Brooklyn, NY 11220-4211

(718) 333-5537

Unlisted Fax

Mailing Location

749 61st St Ste 102, Brooklyn, NY 11220-4211

(718) 333-5537

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 022348 New York

Anita Lin

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Daniels, Khadija

Shapsay, Milana

Goldberg, Shlomie

Rondon, Stanley Abraham

Orlov, Vadim

Dixon, Jeanette O

You, Mengyuan

Liu, Yan Hong

Polansky, Philip

Cheung, Sandy Wingyi