Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vicki Lin, PA

Individual provider Physician Assistant · NPI 1164316444

Vicki Lin, PA is a Physician Assistant in Bronx, New York. Qualified in 2025, 1 year ago. Practices with Bronxcare Health System, a 333-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1650 Grand Concourse
Bronx, NY 10457-7679
Phone: (718) 992-7669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 034377 (NY)

Record details

NPI number1164316444
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials PA
Sole proprietorNo
NPI enumeratedJune 3, 2025
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Bronxcare Health System — 333 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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