Lindenwood Health Medical PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LINDENWOOD HEALTH MEDICAL PC

Practice address

3974 Amboy Rd
Suite 302
Staten Island, NY 10308

Phone

(718) 967-1071

Fax

(718) 966-0359

NPI assigned

Feb 22, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Tatyana Katsman, D.O.

Title

President

Phone

(862) 208-9959

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1295274314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3974 AMBOY RD",
            "address_2": "SUITE 302",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10308",
            "telephone_number": "718-967-1071",
            "fax_number": "718-966-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3974 AMBOY RD",
            "address_2": "SUITE 302",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10308",
            "telephone_number": "718-967-1071",
            "fax_number": "718-966-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDENWOOD HEALTH MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "KATSMAN",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "862-208-9959",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05146507",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Lincoln
• Dianna Lind-Taverna, LMSW
• Linda Sabellico P.T. PLLC
• Julie Linden
• Sheila Linden, LMSW
• Lindenwood Medical PC
• Barbara A Lindsay, LCSW
• Christina Lindsey
• Joanne Ling, MD
• Michelle Ling, FNP

• Family Medicine Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.