DR. MICHAEL JIN MD NPI 1063972511

NPI Information

  • NPI: 1063972511
  • Provider Name: DR. MICHAEL JIN, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 622 W 168TH ST
    NEW YORK, NY
    ZIP 10032
  • Phone: (347) 669-3676

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NPI Details

DR. Michael Jin, MD is a diagnostic radiology radiology in New York, NY with 7 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Michael Jin, MD NPI is 1063972511. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HOFSTRA NORTH SHORE - LIJ SCHOOL OF MEDICINE
Graduation Year:2019

The provider's business location address is:

622 W 168TH ST
NEW YORK, NY
ZIP 10032-720
Phone: (347) 669-3676

The NPI 1063972511 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/21/2019 and was last updated on 4/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology2024-02464NORTH CAROLINAYes
22085N0700XRadiologyNeuroradiology2024-02464NORTH CAROLINANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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