Active NPI
Linda Kormendi, PA-C
- Physician Assistant
- Briarwood, NY
National Provider Identifier
1689043697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 018973-1
- Practice address
- 8339 Daniels St
Briarwood, NY 11435-1208 - Phone
- (718) 523-4141
- NPI assigned
- Sep 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 018973-1 | NY | Primary |
Addresses
Primary practice location
8339 Daniels St
Briarwood, NY 11435-1208
Mailing address
8339 Daniels St
Briarwood, NY 11435-1208
Phone (718) 523-4141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018973-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MLS Medical Services, P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Briarwood, NY
- NPI 1730360892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443139200000",
"number": "1689043697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8339 DANIELS ST",
"city": "BRIARWOOD",
"state": "NY",
"postal_code": "114351208",
"telephone_number": "718-523-4141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8339 DANIELS ST",
"city": "BRIARWOOD",
"state": "NY",
"postal_code": "114351208",
"telephone_number": "718-523-4141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORMENDI",
"first_name": "LINDA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-20",
"last_updated": "2015-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "018973-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Briarwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.