SHELDON SUTTON LIN


Address: 90 Bergen St, Doc 1200, Newark, NJ 07103-2425
Phone: 9739722150

SHELDON SUTTON LIN (NPI# 1952475022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952475022
Entity Type Individual
Full Name SHELDON SUTTON LIN
Credential MD
Practice Address 90 Bergen St
Doc 1200
Newark
NJ 07103-2425
Mailing Address 30 Bergen St
Admc 12 1205
Newark
NJ 07107-3000
Practice Telephone 9739722150
Practice Fax Number 9739722155
Enumeration Date 2006-11-20
Last Update Date 2009-08-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0004X Orthopaedic Surgery
Specialization: Foot and Ankle Surgery
25MA06409100 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 7005601 05

Office Location

Street Address 90 BERGEN ST
DOC 1200
City NEWARK
State NJ
Zip Code 07103-2425

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285623074 Karen Virginia Valdez-gonzalez Genetic Counselor, MS 90 Bergen St, Doctors Office Center - Suite 5400, Newark, NJ 07103-2425 2005-10-14
1134758816 Elizabeth Elaine Ginalis Student in an Organized Health Care Education/Training Program 90 Bergen St, Newark, NJ 07103-2425 2020-04-05
1003462854 University Surgical Associates (om) Transplant Surgery 90 Bergen St, Newark, NJ 07103-2425 2019-08-16
1528614021 Special LLC Plastic Surgery 90 Bergen St, Newark, NJ 07103-2425 2019-08-12
1265993216 Sean Michael Munier Student in an Organized Health Care Education/Training Program 90 Bergen St, Newark, NJ 07103-2425 2019-03-30
1629539861 Ali Tayebi Meybodi Student in an Organized Health Care Education/Training Program 90 Bergen St, Newark, NJ 07103-2425 2019-03-29
1497214282 Brandon Khoa Nguyen Student in an Organized Health Care Education/Training Program 90 Bergen St, Newark, NJ 07103-2425 2019-03-19
1649776790 Purvee D Patel Student in an Organized Health Care Education/Training Program 90 Bergen St, Newark, NJ 07103-2425 2018-04-05
1740716703 Elena Solli Student in an Organized Health Care Education/Training Program 90 Bergen St, Doctor's Office Center, Neurological Surgery Dept., Newark, NJ 07103-2425 2017-05-11
1881120954 Ivo Bach Student in an Organized Health Care Education/Training Program 90 Bergen St, Suite 5200, Newark, NJ 07103-2425 2017-05-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124657077 Yingna Liu Student in an Organized Health Care Education/Training Program Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 2020-04-03
1568029684 Martins Akhibi Nurse Practitioner 178 Newton Street, Newark, NJ 07103 2019-05-23
1972168482 Newark Renaissance House, Inc Rehabilitation, Substance Use Disorder Unit 50-56 Norfolk Street, Newark, NJ 07103 2019-05-09
1346709235 Ian Wang Yu Student in an Organized Health Care Education/Training Program 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 2019-03-19
1437648417 Stephen Vanbeek Internal Medicine 185 S Orange Ave Rm 547, Newark, NJ 07103 2018-05-06
1073019444 Geoffrey Alexander Talis Student in an Organized Health Care Education/Training Program 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 2018-04-03
1285139907 Thomas Georg Bachmann Student in an Organized Health Care Education/Training Program 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 2018-03-26
1154825289 Shammi A Patel Student in an Organized Health Care Education/Training Program 185 S Orange Ave # Msbg594, Newark, NJ 07103 2018-03-22
1982122545 North Jersey Aids Alliance Clinic/Center 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 2017-09-05
1134655533 Yasmin N Abedin Student in an Organized Health Care Education/Training Program 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 2017-05-04
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Taxonomy Information

Taxonomy Code 207XX0004X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Foot and Ankle Surgery

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962591735 Wayne Sarkis Berberian Orthopaedic Surgery 90 Bergen St, Doc 1200, Newark, NJ 07103-2425 2006-10-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629124722 Mark Sobel Orthopaedic Surgery 25 First Ave, Suite 110, Atlantic Highlands, NJ 07716-6354 2007-01-25
1811947187 Seth Robert Queler Orthopaedic Surgery 45 Franklin Ave, Nutley, NJ 07110-3224 2006-05-10
1023677366 Jacques Tran Orthopaedic Surgery 18 E Laurel Rd, Stratford, NJ 08084-1327 2019-06-11
1154877678 Ankle & Foot Institute PC Orthopaedic Surgery 113 W Essex St, Suite 203, Maywood, NJ 07607-1023 2016-08-26
1144775560 Total Ankle & Foot Institute LLC Orthopaedic Surgery 7823 Bergenline Ave, North Bergen, NJ 07047-4942 2016-08-16
1710331798 Meagan Rivera Coleman Orthopaedic Surgery 400 Rte 17, Ridgewood, NJ 07450-2010 2016-04-15
1225353949 Abdel M Bakhos, Md, Pa Orthopaedic Surgery 1145 Bordentown Ave, Parlin, NJ 08859-1851 2010-04-06
1740456318 Brian Seth Winters Orthopaedic Surgery 2500 English Creek Ave, Building 1300, Egg Harbor Township, NJ 08234-5549 2008-05-05
1801060058 Adam Scott Becker Orthopaedic Surgery 401 S Van Brunt St, Englewood, NJ 07631-4604 2008-04-18
1740485887 Kevin S. White Orthopaedic Surgery 108 Bilby Road, Ste 201, Hackettstown, NJ 07840 2007-06-19
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Competitor

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City NEWARK
Zip Code 07103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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