DR. LI JIN (NPI# 1922121102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922121102 |
Entity Type | Individual |
Full Name | DR. LI JIN |
Practice Address |
110 William St Newark NJ 07102-1304 |
Practice Telephone | 9737337590 |
Mailing Telephone | 9737337590 |
Enumeration Date | 2007-04-10 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
25MA06996600 | NJ | Technologists, Technicians & Other Technical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225361223 | Li Jin | Psychiatry & Neurology | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2009-09-09 |
1568597193 | Li Jin | Acupuncturist | 5343 Tallman Ave Nw, Suite 206, Seattle, WA 98107-3931 | 2007-02-23 |
Street Address |
110 WILLIAM ST |
City | NEWARK |
State | NJ |
Zip Code | 07102-1304 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497779680 | Isabel Gonzalez | Pediatrics | 110 William St, Newark, NJ 07102-1304 | 2006-07-27 |
1518407873 | Kayla Guido | Dental Hygienist | 110 William St, Newark, NJ 07102-1304 | 2017-03-06 |
1720539620 | City of Newark | Clinic/Center | 110 William St, Newark, NJ 07102-1304 | 2016-10-17 |
1851757645 | City of Newark | Clinic/Center | 110 William St, Newark, NJ 07102-1304 | 2016-01-08 |
1427467034 | City of Newark | Public Health or Welfare | 110 William St, Newark, NJ 07102-1304 | 2014-08-07 |
1548678303 | City of Newark | Clinic/Center | 110 William St, Newark, NJ 07102-1304 | 2014-07-24 |
1568883346 | Nekisha D Balfour | Nurse Practitioner | 110 William St, Newark, NJ 07102-1304 | 2013-12-23 |
1306182761 | Joanne So | Nurse Practitioner | 110 William St, Newark, NJ 07102-1304 | 2012-12-12 |
1003181553 | City of Newark Dept of Child and Family Well Being Mobile Medical Van | Clinic/Center | 110 William St, Newark, NJ 07102-1304 | 2012-03-16 |
1316130164 | Vincent Davidson Carrington | Dentist | 110 William St, Newark, NJ 07102-1304 | 2007-08-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
Find all providers in zip 07102 |
Taxonomy Code | 247ZC0005X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Pathology |
Specialization | Clinical Laboratory Director, Non-physician |
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285258970 | Bo Wang | Pathology | 1 Centurian Dr Ste 103, Newark, DE 19713-2154 | 2020-05-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972043552 | Arpit Patel | Pathology | 220 Davidson Ave Ste 104, Somerset, NJ 08873-4144 | 2017-03-02 |
1659678100 | Michael S Ghali | Pathology | 180 Lincoln Hwy, Edison, NJ 08820-3551 | 2011-02-18 |
1497907182 | Karl G Verebey | Pathology | 1622 S Wood Ave, Linden, NJ 07036-4646 | 2008-10-14 |
1093339012 | Advanced Clinical Solution Inc | Pathology | 1547a Finnegan Ln, North Brunswick, NJ 08902-1061 | 2020-06-05 |
1790234839 | Martin King | Pathology | 481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118 | 2016-09-30 |
1568632917 | Joseph Portali | Pathology | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2008-03-01 |
1225190705 | Kumudini U Mehta | Pathology | 1 Malcolm Ave, Teterboro, NJ 07608-1011 | 2006-12-14 |
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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.