Active NPI
Akido Medical PLLC
- General Practice Physician
- Brooklyn, NY
National Provider Identifier
1144118142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- AKIDO MEDICAL PLLC
- Practice address
- 101 Broadway
Suite 301
Brooklyn, NY 11249-6034 - Phone
- (213) 348-6051
- NPI assigned
- Jun 26, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jared Goodner
- Title
- Officer, Secretary
- Phone
- (213) 348-6051
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
101 Broadway
Suite 301
Brooklyn, NY 11249-6034
Mailing address
8605 Santa Monica Blvd
PMB 17538
West Hollywood, CA 90069-4109
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2328181 | Akido Medical PLLC | Certificate of waiver | Aug 5, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775520000000",
"number": "1144118142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8605 SANTA MONICA BLVD",
"address_2": "PMB 17538",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900694109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BROADWAY",
"address_2": "SUITE 301",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112496034",
"telephone_number": "213-348-6051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AKIDO MEDICAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-26",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A",
"authorized_official_last_name": "GOODNER",
"authorized_official_first_name": "JARED",
"authorized_official_title_or_position": "OFFICER, SECRETARY",
"authorized_official_telephone_number": "213-348-6051"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.