Lindenwood Medical PC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

251641 Issued in NY

Legal business name

LINDENWOOD MEDICAL PC

Practice address

11 Ralph PL Ste 112
Staten Island, NY 10304-4408

Phone

(718) 954-2202

NPI assigned

Sep 9, 2009

Organization subpart

No

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

Authorized official

Name

Zoya KorolevaNPI 1588823025

Title

Medical Director

Phone

(718) 954-2202

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zoya Koroleva

  • Family Medicine Physician
  • Staten Island, NY
  • NPI 1588823025
  Medicare reassignment Care Compare group NPD Authorized official
• Anna Lakhter, DNP, FNP-BC, FNP-C

  • Family Nurse Practitioner
  • New York, NY
  • NPI 1629725031

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Natalia Maximovsky, NP

  • Adult Health Nurse Practitioner
  • Staten Island, NY
  • NPI 1265990097
  Medicare reassignment Care Compare group NPD
• Stanislav Kaminyar, D.O

  • Family Medicine Physician
  • Rockaway Park, NY
  • NPI 1235360470
  Medicare reassignment NPD
• Julia Kay, NP

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1548899198
  Medicare reassignment NPD
• Svetlana Veltman, MSN, FNP-BC

  • Family Nurse Practitioner
  • Staten Island, NY
  • NPI 1023568912
  Medicare reassignment NPD
• Juliana Tacardon, DNP FNP-C

  • Family Nurse Practitioner
  • Sewell, NJ
  • NPI 1376964452

  NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1811220882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RALPH PL STE 112",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044408",
            "telephone_number": "718-954-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RALPH PL STE 112",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044408",
            "telephone_number": "718-954-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDENWOOD MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2022-01-04",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "KOROLEVA",
        "authorized_official_first_name": "ZOYA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-954-2202"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "251641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03130027",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dianna Lind-Taverna, LMSW
• Linda Sabellico P.T. PLLC
• Julie Linden
• Sheila Linden, LMSW
• Lindenwood Health Medical PC
• Barbara A Lindsay, LCSW
• Christina Lindsey
• Joanne Ling, MD
• Michelle Ling, FNP
• Christopher Link, RPH

• Adult Medicine Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Adult Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.