NPIMap

Organization Active NPI

Lincoln Medical & Mental Health Center

  • General Acute Care Hospital
  • Flushing, NY
National Provider Identifier
1700938024
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
LINCOLN MEDICAL & MENTAL HEALTH CENTER
Practice address
4510 Kissena Blvd
Flushing, NY 11355-3431
Phone
(718) 661-2636
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Edelmiro Gonzalez, LCSW-R
Title
Social Work Supervisor II
Phone
(718) 579-5657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

4510 Kissena Blvd
Flushing, NY 11355-3431

Mailing address

4510 Kissena Blvd
Flushing, NY 11355-3431
Phone (718) 661-2636

Other identifiers 1

IdentifierTypeStateIssuer
O349041OtherNYSOCIAL WORK

National Provider Directory

National Provider Directory
Tax ID family
Abdel a Ammoumi123 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700938024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553431",
            "telephone_number": "718-661-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553431",
            "telephone_number": "718-661-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN MEDICAL & MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "EDELMIRO",
        "authorized_official_title_or_position": "SOCIAL WORK SUPERVISOR II",
        "authorized_official_telephone_number": "718-579-5657",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK",
            "identifier": "O349041",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.