STEPHANIE LIN MD
NPI 1942901921
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since March 15, 2023PECOS Enrolled
3600 SPRUCE ST, PHILADELPHIA, PA 19104(215) 662-7883 Get Directions Write a Review

NPPES record last updated: June 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 15, 2025, Mar 3, 2025, Mar 15, 2023 (3 updates tracked since 2023).

About Stephanie Lin Md NPPES

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

STEPHANIE LIN MD (NPI 1942901921) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT234323) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942901921
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSTEPHANIE LINCredential: MD
Location Address3600 SPRUCE STPhiladelphia, PA 19104-4211
Mailing Address3600 Spruce StPhiladelphia, PA 19104-4211 · (215) 662-7883
Sole ProprietorYes
Enumeration DateMarch 15, 2023
Last NPPES UpdateJune 15, 20253 updates tracked since enumeration
NPPES CertifiedJune 15, 2025
NPI 1942901921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in PA · MT234323
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.

3600 SPRUCE ST, Philadelphia, PA 19104

Secondary Practice Locations 2

Location 127005 76th AveNew Hyde Park, NY 11040-1402 · Phone (718) 470-3377
Location 2300 Community DrManhasset, NY 11030-3816 · Phone (516) 562-2945

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stephanie Lin Md 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.

Genetic Counselor, MS
3600 SPRUCE ST, 3RD FLOOR MALONEY BLDG - CNDR OFFICE
PHILADELPHIA, PA 19104
Surgery
3600 SPRUCE ST, MALONEY BUILDING, FLOOR 4
PHILADELPHIA, PA 19104
Dermatology
3600 SPRUCE ST, 2 MALONEY BLDG
PHILADELPHIA, PA 19104
Dermatology
3600 SPRUCE ST, 2 MALONEY BLDG
PHILADELPHIA, PA 19104
Internal Medicine (Pulmonary Disease)
3600 SPRUCE ST, 8TH FLOOR
PHILADELPHIA, PA 19104
Dermatology
3600 SPRUCE ST, 2 MALONEY
PHILADELPHIA, PA 19104
Dermatology
3600 SPRUCE ST, 2 MALONEY BLD
PHILADELPHIA, PA 19104
Internal Medicine (Pulmonary Disease)
3600 SPRUCE ST, 839 WEST GATES
PHILADELPHIA, PA 19104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942901921, enumerated as an "individual" on March 15, 2023.

The provider is located at 3600 SPRUCE ST PHILADELPHIA, PA 19104 and the phone number is (215) 662-7883.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.