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JACQUELINE TIN M.D.
NPI 1508397779
Emergency Medicine in New York, NY

Active since March 21, 2017PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
1 GUSTAVE LEVY PLACE, BOX 1149, NEW YORK, NY 10029(212) 824-8069 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 13, 2022, Mar 24, 2017 (2 updates tracked since 2017).

About Jacqueline Tin M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE TIN M.D. (NPI 1508397779) is an individual emergency medicine provider in New York, New York, licensed in New York (UNKNOWN) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Montefiore New Rochelle Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1508397779
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameJACQUELINE TINCredential: M.D.
Location Address1 GUSTAVE LEVY PLACE, BOX 1149New York, NY 10029
Mailing Address1 3rd Ave Apt 911Mineola, NY 11501-4349 · (646) 736-8958
Phone(212) 824-8069
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 21, 2017
Last NPPES UpdateApril 25, 20232 updates tracked since enumeration
NPPES CertifiedApril 25, 2023
✔ NPI 1508397779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · UNKNOWN
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1 GUSTAVE LEVY PLACE, New York, NY 10029
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Tin M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062757552
PECOS Enrollment IDI20210616001080
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Jacqueline Tin reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Francis Hospital
15 mi
General Acute Care Hospital
100 PORT WASHINGTON BLVD
Roslyn, NY 11576
  • Reassigned Medicare billing, New York enrollment
  • 187 clinicians in this Medicare group
NPI 1205984580 (516) 338-5358
Mercy Medical Center
18 mi
Diagnostic Radiology
1000 N. VILLAGE AVENUE
Rockville Centre, NY 11571
  • Reassigned Medicare billing, New York enrollment
  • 266 clinicians in this Medicare group
NPI 1124062369 (516) 705-1353
East Post Road Medical Services PC
19 mi
Emergency Medicine
41 E POST RD
White Plains, NY 10601
  • Reassigned Medicare billing, New York enrollment
  • 479 clinicians in this Medicare group
NPI 1841767274 (914) 681-1210
Good Samaritan Hospital Medical Center
35 mi
Physician Assistant
1000 MONTAUK HWY
West Islip, NY 11795
  • Reassigned Medicare billing, New York enrollment
  • 395 clinicians in this Medicare group
NPI 1518901180 (631) 376-4027
Samaritan Emergency Medical Services, PC
35 mi
Emergency Medicine
1000 MONTAUK HWY
West Islip, NY 11795
  • Reassigned Medicare billing, New York enrollment
  • 91 clinicians in this Medicare group
NPI 1104978014 (631) 376-3000
New York University
1,042 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
229 services224 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
210 services205 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
58 services58 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
35 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services28 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore New Rochelle Hospital

Acute Care Hospitals · New Rochelle, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330184
Location16 Guion PlaceNew Rochelle, NY 10802 · Westchester County
Emergency services Birthing friendly

White Plains Hospital Center

Acute Care Hospitals · White Plains, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330304
Location41 East Post R0adWhite Plains, NY 10601 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY PRESCIUTTI
Nurse Practitioner (Family)
1 GUSTAVE LEVY PLACE
NEW YORK, NY 10029
New York County (212) 241-6500
MARK SAM COUREY
Specialist
1 GUSTAVE LEVY PLACE, BOX 1191
NEW YORK, NY 10029
New York County (212) 241-9410
DR. DENNIS MARK BIENSTOCK MD
Student in an Organized Health Care Education/Training Program
1 GUSTAVE LEVY PLACE
NEW YORK, NY 10029
New York County (212) 241-1621
MOUNT SINAI SCHOOL OF MEDICINE
Pathology (Blood Banking & Transfusion Medicine)
1 GUSTAVE LEVY PLACE
NEW YORK, NY 10029
New York County (212) 241-6784
MOUNT SINAI SCHOOL OF MEDICINE
Internal Medicine (Cardiovascular Disease)
1 GUSTAVE LEVY PLACE
NEW YORK, NY 10029
New York County (212) 731-7822
JULIA RIVADENEIRA LMSW
Social Worker
1 GUSTAVE LEVY PLACE
NEW YORK, NY 10029
New York County (212) 659-8795
DR. TAISHA ROMAN MD
Pathology (Anatomic Pathology & Clinical Pathology)
1 GUSTAVE LEVY PLACE
NEW YORK, NY 10029
New York County (212) 241-6500
DR. KATE WELCH M.D.
Pediatrics (Pediatric Allergy/Immunology)
1 GUSTAVE LEVY PLACE
NEW YORK, NY 10029
New York County (212) 241-4963

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Tin's NPI number?

The NPI number for Jacqueline Tin is 1508397779. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Jacqueline Tin located?

Jacqueline Tin practices at 1 Gustave Levy Place Box 1149, New York, NY 10029. The listed phone number is (212) 824-8069.

What is Jacqueline Tin's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jacqueline Tin enrolled in Medicare?

Yes. Jacqueline Tin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jacqueline Tin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Tin reassigns Medicare benefits to 6 organizations: St Francis Hospital (Roslyn, NY), Mercy Medical Center (Rockville Centre, NY), East Post Road Medical Services PC (White Plains, NY), Good Samaritan Hospital Medical Center (West Islip, NY), Samaritan Emergency Medical Services, PC (West Islip, NY) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Tin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jacqueline Tin affiliated with any hospitals?

According to CMS data, Jacqueline Tin is affiliated with Montefiore New Rochelle Hospital and White Plains Hospital Center.

When was this NPI record last updated?

The NPPES record for Jacqueline Tin was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.