Active NPI
Elnunu Medical PC
- Pediatrics Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 249440-1
- Legal business name
- ELNUNU MEDICAL PC
- Practice address
- 2311 Coney Island Ave
Brooklyn, NY 11223-3337 - Phone
- (646) 872-6818
- NPI assigned
- Mar 15, 2013
- 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
- Linda Banbahji
- Title
- Manager
- Phone
- (646) 872-6818
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 249440-1 | NY | Primary |
Addresses
Primary practice location
2311 Coney Island Ave
Brooklyn, NY 11223-3337
Mailing address
2311 Coney Island Ave
Brooklyn, NY 11223-3337
Phone (646) 872-6818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 249440-1 | Other | NY | LICENSE# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
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 |
|---|---|---|---|
| 33D2277622 | Elnunu Medical PC | Certificate of waiver | Mar 1, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Primary Care Nurse Practitioner
- Brooklyn, NY
- NPI 1902306509
-
- Pediatrics Physician
- Brooklyn, NY
- NPI 1689869067
-
- Physician Assistant
- Brooklyn, NY
- NPI 1295031599
-
- Pharmacist
- Brooklyn, NY
- NPI 1114363595
-
- Occupational Therapist
- Brooklyn, NY
- NPI 1295901098
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1598789844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363305600000",
"number": "1235470238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 CONEY ISLAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112233337",
"telephone_number": "646-872-6818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2311 CONEY ISLAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112233337",
"telephone_number": "646-872-6818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELNUNU MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-15",
"last_updated": "2013-03-15",
"status": "A",
"authorized_official_last_name": "BANBAHJI",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "646-872-6818"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NY",
"license": "249440-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE#",
"identifier": "249440-1",
"state": "NY"
}
],
"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 Mar 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.