Walford B Lindo MD PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

142321 Issued in NY

Legal business name

WALFORD B LINDO MD PC

Practice address

3304 Glenwood Rd
Brooklyn, NY 11210-2724

Phone

(718) 859-0008

Fax

(718) 434-4470

NPI assigned

Oct 21, 2011

Reactivated

Mar 20, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Walford B Lindo, MDNPI 1972677516

Title

President

Phone

(718) 859-0008

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Walford B Lindo, MD

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1972677516

  NY

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1619253663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 GLENWOOD RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102724",
            "telephone_number": "718-859-0008",
            "fax_number": "718-434-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 GLENWOOD RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102724",
            "telephone_number": "718-859-0008",
            "fax_number": "718-434-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALFORD B LINDO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-21",
        "last_updated": "2018-03-20",
        "deactivation_date": "2016-03-11",
        "reactivation_date": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "LINDO",
        "authorized_official_first_name": "WALFORD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-859-0008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "142321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI- INDIVIDUAL",
            "identifier": "1972677516",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00637816",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Waldron, PH.D.
• Dellon Waldron
• Garth Keron Waldron, MD
• Nanna Sophie Luisa Waldroup
• Menachem Walfish, M.D.
• Amy Walford
• Evelyn Walford
• Walgreen Co
• Walgreen Co
• Walgreen Co

• All providers in Brooklyn, NY
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.