Individual provider Active NPI

Richard Allan Link, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1730114547
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
129171 Issued in NY
Practice address
170 Frost St
Brooklyn, NY 11211-1404
Phone
(718) 388-6629
Fax
(718) 388-5029
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 129171 NY Primary

Addresses

Primary practice location

170 Frost St
Brooklyn, NY 11211-1404

Mailing address

15 Columbia Rd
Ardsley, NY 10502-1411
Phone (914) 479-0994

Other identifiers 1

IdentifierTypeStateIssuer
00305133MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031209000087 NY Practitioner - Internal Medicine 7214833599 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prominis Medical Services PCGroup PAC ID 9537124441, 43 clinicians

Practice addresses (Care Compare)

228 Bushwick Ave
Suite 1a
Brooklyn, NY 11206-2378
Phone (718) 963-2383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Prominis Medical Services PC Internal Medicine CurrentSince Jan 2, 2015 Accepting new patients
Richard Link MD PastSince Jan 1, 1990 Accepting new patients

Locations

228 Bushwick Ave
Brooklyn, NY 11206
Phone (718) 381-2201

332 DeKalb Ave
Brooklyn, NY 11205
Phone 7185825252101

228 Bushwick Ave
Ste 1A
Brooklyn, NY 11206
Phone (718) 388-8400

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1730114547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 COLUMBIA RD",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021411",
            "telephone_number": "914-479-0994",
            "fax_number": "718-388-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 FROST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112111404",
            "telephone_number": "718-388-6629",
            "fax_number": "718-388-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINK",
        "first_name": "RICHARD",
        "middle_name": "ALLAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "129171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00305133",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.