ANGENIS LIN PA-C
NPI 1710517305
Physician Assistant - Medical in Brooklyn, NY

Active since January 22, 2020PECOS Enrolled
585 SCHENECTADY AVE, BROOKLYN, NY 11203(718) 604-5000 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 20, 2021, Jan 22, 2020 (2 updates tracked since 2020).

About Angenis Lin Pa-c NPPES

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

ANGENIS LIN PA-C (NPI 1710517305) is an individual medical provider in Brooklyn, New York, licensed in New York (024519-01) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1710517305
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameANGENIS LINCredential: PA-C
Location Address585 SCHENECTADY AVEBrooklyn, NY 11203-1822
Mailing Address585 Schenectady AveBrooklyn, NY 11203-1822 · (718) 604-5000
Sole ProprietorNo
Enumeration DateJanuary 22, 2020
Last NPPES UpdateApril 20, 20212 updates tracked since enumeration
NPPES CertifiedApril 20, 2021
✔ NPI 1710517305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 024519-01
585 SCHENECTADY AVE, Brooklyn, NY 11203

Secondary Practice Location 1

Location 11526 83rd StBrooklyn, NY 11228-3130 · Phone (718) 313-6106

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angenis Lin Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Psychiatry & Neurology (Geriatric Psychiatry)
585 SCHENECTADY AVE
BROOKLYN, NY 11203
Pharmacist
585 SCHENECTADY AVE
BROOKLYN, NY 11203
Pharmacist
585 SCHENECTADY AVE
BROOKLYN, NY 11203
Dentist (General Practice)
585 SCHENECTADY AVE
BROOKLYN, NY 11203
Clinic/Center
585 SCHENECTADY AVE, MANAGED CARE DEPT
BROOKLYN, NY 11203
Nurse Practitioner (Family)
585 SCHENECTADY AVE, EMERGENCY DEPARTMENT
BROOKLYN, NY 11203
Pharmacist
585 SCHENECTADY AVE
BROOKLYN, NY 11203
Psychiatry & Neurology (Psychiatry)
585 SCHENECTADY AVE
BROOKLYN, NY 11203

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 Angenis Lin's NPI number?

The NPI number for Angenis Lin is 1710517305. It was assigned to this individual provider in the NPPES registry on January 22, 2020.

Where is Angenis Lin located?

Angenis Lin practices at 585 Schenectady Ave, Brooklyn, NY 11203. The listed phone number is (718) 604-5000.

What is Angenis Lin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Angenis Lin enrolled in Medicare?

Yes. Angenis Lin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angenis Lin was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.