Healthcare Provider Details

I. General information

NPI: 1356614697
Provider Name (Legal Business Name): WEI PING LIN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: WEIPING LIN D.O.

II. Dates (important events)

Enumeration Date: 02/16/2012
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 CEDAR LN STE 303
TEANECK NJ
07666-4313
US

IV. Provider business mailing address

3 UNIVERSITY PLZ STE 205
HACKENSACK NJ
07601-6208
US

V. Phone/Fax

Practice location:
  • Phone: 551-288-1025
  • Fax: 551-288-1024
Mailing address:
  • Phone: 201-833-3599
  • Fax: 201-227-6207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number25MB12832100
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number264298
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: