Provider Demographics
NPI:1063517423
Name:J & P LIN MEDICAL ASSOCIATES, INC
Entity type:Organization
Organization Name:J & P LIN MEDICAL ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:ZHANG
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-881-6651
Mailing Address - Street 1:4701 RANDOLPH RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-2257
Mailing Address - Country:US
Mailing Address - Phone:301-881-6651
Mailing Address - Fax:301-881-6653
Practice Address - Street 1:4701 RANDOLPH RD
Practice Address - Street 2:SUITE 102
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-2257
Practice Address - Country:US
Practice Address - Phone:301-881-6651
Practice Address - Fax:301-881-6653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0058236208000000X
MDD00594852084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD357BJPOtherBC/BS GROUP #
MDJPMAOtherAMERIGROUP GROUP #
MD827008OtherPRIORITY PARTNER GROUP#
MD608147800OtherOWCP GROUP #
DCK143OtherBC/BS GROUP #
MD406104700Medicaid
MDG01624Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER
MDJPMAOtherAMERIGROUP GROUP #