Diana Jin, MD in Englewood, NJ - Medicare Anesthesiology

Diana Jin, MD is a medicare enrolled "Anesthesiology" physician in Englewood, New Jersey. Her current practice location is 350 Engle St, Englewood, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 894-3238.

Diana Jin is licensed to practice in New Jersey (license number 25MA11572600) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073044996.

Contact Information

	Diana Jin, MD
	350 Engle St, Englewood, NJ 07631-1808
	(201) 894-3238
	Not Available

Map and Direction

Physician's Profile

Full Name	Diana Jin
Gender	Female
Speciality	Anesthesiology
Location	350 Engle St, Englewood, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073044996
Provider Enumeration Date: 03/22/2017
Last Update Date: 04/09/2025

Medicare PECOS Information:

PECOS PAC ID: 0547506164
Enrollment ID: I20220901003657

Medical Identifiers

Medical identifiers for Diana Jin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073044996	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207LC0200X	Anesthesiology - Critical Care Medicine	306413 (New York)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207L00000X	Anesthesiology	25MA11572600 (New Jersey)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Diana Jin allows following entities to bill medicare on her behalf.

Entity Name	Northern Valley Anesthesiology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245289487 PECOS PAC ID: 0749194868 Enrollment ID: O20031113000519

Entity Name	Morris Avenue Endoscopy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184778060 PECOS PAC ID: 8921074840 Enrollment ID: O20040902000513

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diana Jin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Diana Jin, MD 350 Engle St, Englewood, NJ 07631-1808 Ph: (201) 894-3238	Diana Jin, MD 350 Engle St, Englewood, NJ 07631-1808 Ph: (201) 894-3238

Reviews and Comments

Anesthesiology Doctors in Englewood, NJ

David Garfunkel, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 201-894-3322 Fax: 201-894-0585
Jeffrey Smok, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 201-894-3322 Fax: 201-894-0585
Dr. Louis Young Lee, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 350 Engle St, Dept Of Anesthesia, Englewood, NJ 07631 Phone: 201-894-3322
Payyanadan Chithran, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 201-894-3322 Fax: 201-894-0585
Wade Metro, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 201-894-3322 Fax: 201-894-0585
Ilana Ariel Kipnis, D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 88 Brownstone Way, Apt 112, Englewood, NJ 07631 Phone: 914-523-3198

Diana Jin, MD - Medicare Anesthesiology in Englewood, NJ