Organization Active NPI

Linda E Ednalino MD PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1689916165
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
153923-1 Issued in NY
Legal business name
LINDA E EDNALINO MD PC
Practice address
1963 Rockaway Pkwy
Brooklyn, NY 11236-5505
Phone
(718) 241-1513
NPI assigned
Mar 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Authorized official

Name
Dr. Linda Ednalino
Title
President
Phone
(516) 761-5318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 153923-1 NY Primary

Addresses

Primary practice location

1963 Rockaway Pkwy
Brooklyn, NY 11236-5505

Mailing address

849 Moore St
Woodmere, NY 11598-2315
Phone (516) 761-5318

Other identifiers 2

IdentifierTypeStateIssuer
63263OtherNYPTAN (QUEENS)
05D581OtherNYPTAN (BROOKLYN)

National Provider Directory

National Provider Directory
Tax ID family
Linda E Ednalino MD PC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1689916165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 MOORE ST",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982315",
            "telephone_number": "516-761-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1963 ROCKAWAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365505",
            "telephone_number": "718-241-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA E EDNALINO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-21",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "EDNALINO",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-761-5318",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "153923-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN (QUEENS)",
            "identifier": "63263",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN (BROOKLYN)",
            "identifier": "05D581",
            "state": "NY"
        }
    ],
    "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 Apr 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.