Organization Active NPI

Yelena Linden Baum Medical PC

  • Neurology Physician
  • New York, NY
National Provider Identifier
1881738755
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
207408 Issued in NY
Legal business name
YELENA LINDEN BAUM MEDICAL PC
Practice address
314 W 14TH St
6 Floor
New York, NY 10014-5002
Phone
(646) 823-7138
NPI assigned
Feb 16, 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
Yelena LindenbaumNPI 1427106012
Title
President
Phone
(646) 823-7138

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 207408 NY Primary

Addresses

Primary practice location

314 W 14TH St
6 Floor
New York, NY 10014-5002

Mailing address

1623 3Rd Ave
9J
New York, NY 10128-3638
Phone (646) 823-7138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090528000262 NY Part B Supplier - Clinic/Group Practice 0446149611 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY; Bronx, NY

National Provider Directory

National Provider Directory

Locations

314 W 14th St
Fl 6
New York, NY 10014
Phone (212) 673-8119

170 E 77th St
Ofc 3
New York, NY 10075
Phone (646) 823-7138

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881738755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 3RD AVE",
            "address_2": "9J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283638",
            "telephone_number": "646-823-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W 14TH ST",
            "address_2": "6 FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100145002",
            "telephone_number": "646-823-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELENA LINDEN BAUM MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LINDENBAUM",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-823-7138"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "207408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, 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.
  • 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.