Kelin Medical PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

263245 Issued in NY

Legal business name

KELIN MEDICAL PC

Practice address

5303 8TH Ave
Brooklyn, NY 11220-3201

Phone

(312) 933-5621

NPI assigned

Feb 2, 2015

Last updated

Feb 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Congrong LinNPI 1457643306

Title

MD, PHD

Phone

(312) 933-5621

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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.

• Congrong Lin, MD

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1457643306
  Medicare reassignment NPD Authorized official
• Yuanli Xie, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1871874453
  NPD (past)

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1821488545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MYRTLE AVE APT 504",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012911",
            "telephone_number": "312-933-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5303 8TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203201",
            "telephone_number": "312-933-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELIN MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "CONGRONG",
        "authorized_official_title_or_position": "MD, PHD",
        "authorized_official_telephone_number": "312-933-5621",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "263245",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "263245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olanike Oyeyemi Kekere, APRN
• Kel Healthcare Medical Services PC
• Hesham Kelani
• Kelechi Butler Certified Registered Nurse Anesthetist, P.C.
• Leah Kelemer
• Jennifer Butcher Kellar, MACCCSLP
• Kadeisha Kellar
• Yuliya Kelleher, RN
• Keller Chiropractic of Crown Heights LLC.
• Keller Chiropractic of Williamsburg LLC.

• Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.