Active NPI
Walford B Lindo MD PC
- Primary Care Clinic/Center
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 142321
- 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
- Last updated
- Mar 20, 2018
- 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
- Dr. Walford B Lindo, MD
- Title
- President
- Phone
- (718) 859-0008
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 142321 | NY | Primary |
Addresses
Primary practice location
3304 Glenwood Rd
Brooklyn, NY 11210-2724
Mailing address
3304 Glenwood Rd
Brooklyn, NY 11210-2724
Phone (718) 859-0008
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 |
|---|---|---|---|
| 33D0145363 | Walford B Lindo MD | Provider-performed microscopy | Jun 29, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1972677516
NPI Registry JSON
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": [],
"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 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.