Organization Active NPI

Ling Lu Medical P C

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1689383457
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LING LU MEDICAL P C
Practice address
774 57TH St # 1
Brooklyn, NY 11220-3589
Phone
(718) 621-7888
NPI assigned
Nov 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Ling LuNPI 1447562376
Title
MD
Phone
(518) 427-0128

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

774 57TH St # 1
Brooklyn, NY 11220-3589

Mailing address

774 57TH St # 1
Brooklyn, NY 11220-3589
Phone (718) 621-7888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221216001007 NY Part B Supplier - Clinic/Group Practice 8921477738 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Tax ID family
Ling Lu Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1689383457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 57TH ST # 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203589",
            "telephone_number": "718-621-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 57TH ST # 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203589",
            "telephone_number": "718-621-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LING LU MEDICAL P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "LING",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "518-427-0128"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "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 Mar 11, 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.