Organization Active NPI

Linden Family Medical LLC

  • Family Medicine Physician
  • Linden, NJ
National Provider Identifier
1427095835
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB55113 Issued in NJ
Legal business name
LINDEN FAMILY MEDICAL LLC
Practice address
850 N Wood Ave
Linden, NJ 07036-4038
Phone
(908) 925-9309
Fax
(908) 925-7910
NPI assigned
Jun 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kevin E. Lukenda, D.O.NPI 1467407759
Title
Doctor Owner
Phone
(908) 925-9309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MB55113 NJ Primary

Addresses

Primary practice location

850 N Wood Ave
Linden, NJ 07036-4038

Mailing address

850 N Wood Ave
Linden, NJ 07036-4038
Phone (908) 925-9309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070517000150 NJ Part B Supplier - Clinic/Group Practice 6901903475 Receives reassigned benefits from 5 practitioners
Practice locations: Linden, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2109650Linden Family Medical, LLC850 North Wood Avenue, Linden, NJ 07036Certificate of waiverFeb 28, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427095835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N WOOD AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364038",
            "telephone_number": "908-925-9309",
            "fax_number": "908-925-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N WOOD AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364038",
            "telephone_number": "908-925-9309",
            "fax_number": "908-925-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDEN FAMILY MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUKENDA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "908-925-9309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB55113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.