Organization Active NPI

Linden Medical Group, PLLC

  • Nephrology Physician
  • Brooklyn, NY
National Provider Identifier
1669218517
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
LINDEN MEDICAL GROUP, PLLC
Practice address
2372 Linden Blvd
Brooklyn, NY 11208-4821
Phone
(646) 317-0731
Fax
(332) 230-4453
NPI assigned
Jul 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Authorized official

Name
Chika Oguagha, MDNPI 1932215357
Title
Director/ Partner
Phone
(516) 770-7242

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
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

2372 Linden Blvd
Brooklyn, NY 11208-4821

Mailing address

11 Melrick CT
Westbury, NY 11590-2425

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240919002938 NY Part B Supplier - Clinic/Group Practice 0749721512 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

915 Dean St
Brooklyn, NY 11238
Phone (347) 915-2140

818 Sterling Pl
Brooklyn, NY 11216
Phone (718) 735-6660

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1669218517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MELRICK CT",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2372 LINDEN BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112084821",
            "telephone_number": "646-317-0731",
            "fax_number": "332-230-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDEN MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "OGUAGHA",
        "authorized_official_first_name": "CHIKA",
        "authorized_official_title_or_position": "DIRECTOR/ PARTNER",
        "authorized_official_telephone_number": "516-770-7242",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "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 Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.