JACQUELINE TIN


Address: 1 Gustave Levy Place, Box 1149, New York, NY 10029
Phone: 2128248069

JACQUELINE TIN (NPI# 1508397779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508397779
Entity Type Individual
Full Name JACQUELINE TIN
Credential M.D.
Practice Address 1 Gustave Levy Place
Box 1149
New York
NY 10029
Mailing Address 122 Bay 10th St Apt 1
Brooklyn
NY 11228-3702
Practice Telephone 2128248069
Mailing Telephone 6467368958
Enumeration Date 2017-03-21
Last Update Date 2017-03-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine UNKNOWN NY Allopathic & Osteopathic Physicians
Y 390200000X Student in an Organized Health Care Education/Training Program UNKNOWN NY Student, Health Care

Office Location

Street Address 1 GUSTAVE LEVY PLACE
BOX 1149
City NEW YORK
State NY
Zip Code 10029

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306803887 Christine A. Zawistowski Pediatrics 1 Gustave Levy Place, 1202b, New York, NY 10029 2006-04-27
1427678945 Kathryn Marqueen Student in an Organized Health Care Education/Training Program 1 Gustave Levy Place, New York, NY 10029 2020-04-24
1538797196 Krystina Choinski Student in an Organized Health Care Education/Training Program 1 Gustave Levy Place, #1273, New York, NY 10029-6574 2020-03-30
1619504701 Gregory Raczkowski Morgan Student in an Organized Health Care Education/Training Program 1 Gustave Levy Place, New York, NY 10029-6574 2020-03-26
1093342537 Samantha Azadian Student in an Organized Health Care Education/Training Program 1 Gustave Levy Place, New York, NY 10029 2020-03-25
1164076808 Lakitra Ladd Nurse Practitioner 1 Gustave Levy Place, New York, NY 10029-1002 2019-07-31
1558925008 Adrienne I Rosenthal Student in an Organized Health Care Education/Training Program 1 Gustave Levy Place, New York, NY 10029-0313 2019-04-30
1407314917 Jennifer Lee Pinero Social Worker 1 Gustave Levy Place, New York, NY 10029 2019-03-05
1336623065 Wilson Li Nurse Practitioner 1 Gustave Levy Place, New York, NY 10029 2018-09-19
1154852408 Cailey Simmons Student in an Organized Health Care Education/Training Program 1 Gustave Levy Place, Box 1149, New York, NY 10029 2017-03-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316547029 Erica Marie Mclaughlin Counselor 109 E. 115th Street, New York, NY 10029 2020-10-30
1992305601 Ayan Kumar Student in an Organized Health Care Education/Training Program New York Medical College/ Metropolitan Hospital, 1901, First Avenue, New York City, NY 10029 2020-10-30
1538767306 Noily Noemi Nezbeth Registered Nurse 1 Gustav Levy, New York, NY 10029 2020-10-14
1457959652 Marwan Nihad Abdel Rauf Yusuf Student in an Organized Health Care Education/Training Program Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 2020-10-12
1225635014 Alice Liang Registered Nurse 35 East 110th St, New York, NY 10029 2020-10-05
1013525724 Avihai Moscovici Student in an Organized Health Care Education/Training Program 1 Gustave L. Levy Pl, New York, New York, NY 10029 2020-07-20
1912523473 Gayathri Sreenivasan Student in an Organized Health Care Education/Training Program 1901, 1st Avenue, Metropolitan Hospital Center, Department of Pediatrics, New York, NY 10029 2020-06-22
1417572801 Rachana Borkar Student in an Organized Health Care Education/Training Program 1901, 1st Avenue, New York, Metropolitan Hospital Center Department of Int Medicine, New York, NY 10029 2020-06-11
1831713197 Dania Isabel Antunez Student in an Organized Health Care Education/Training Program 1901 1 St Avenue, New York, NY 10029 2020-06-02
1972122323 Antoine Beayno Student in an Organized Health Care Education/Training Program The Mount Sinai Hospital- 1468 Madison Ave, New York City, NY 10029 2020-04-15
Find all providers in zip 10029

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740881671 Celeste Finelli Student in an Organized Health Care Education/Training Program 255 W 36th St Rm 201, New York, NY 10018-7700 2020-11-06
1407457310 Omri Sulimani Student in an Organized Health Care Education/Training Program 1425 Madison Ave Ste L4-60, New York, NY 10029-6514 2020-11-06
1215537931 Gloria Helena Gomez Arenas Student in an Organized Health Care Education/Training Program 220 East 57th Street, Apt 5c, New York, NY 10022 2020-10-30
1033719216 Vanessa Tee-ting Ng Student in an Organized Health Care Education/Training Program 1 Park Avenue, Nyu Langone Child Study Center, 7th Floor, New York, NY 10016 2020-10-28
1457959652 Marwan Nihad Abdel Rauf Yusuf Student in an Organized Health Care Education/Training Program Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 2020-10-12
1558968537 Yiyang Zhang Student in an Organized Health Care Education/Training Program 1000 10th Ave Fl 2, New York, NY 10019-1147 2020-10-03
1699372706 Anna Jane Dare Student in an Organized Health Care Education/Training Program 1275 York Avenue Department of Surgery, Memorial Sloan, Kettering Cancer Center, New York, NY 10065 2020-10-02
1285241018 Grace A Forrester Student in an Organized Health Care Education/Training Program 517 W 121st St Apt 604s, New York, NY 10027-5901 2020-09-25
1235746199 Christopher Alexis Perez Lizardo Student in an Organized Health Care Education/Training Program 515 W 59th St Apt 29b, New York, NY 10019-1042 2020-09-24
1568077014 Toshihide Kuroe Student in an Organized Health Care Education/Training Program 35-20 90th Street, Jackson Heights, Queens, New York, NY 11372 2020-09-11
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Competitor

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City NEW YORK
Zip Code 10029

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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