Individual provider Active NPI

Linke Ma

  • Family Medicine Physician
  • Flushing, NY
National Provider Identifier
1932553427
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
299566 Issued in NY
Practice address
13630 Maple Ave Ste 2B
Flushing, NY 11355-3867
Phone
(718) 799-0958
Fax
(718) 799-0959
NPI assigned
Apr 20, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 299566 NY Primary

Addresses

Primary practice location

13630 Maple Ave Ste 2B
Flushing, NY 11355-3867

Mailing address

13630 Maple Ave Ste 2B
Flushing, NY 11355-3867
Phone (718) 799-0958

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
I20190828001874 NY Practitioner - Family Practice 5294079828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13630 Maple Ave
Suite 2B
Flushing, NY 11355-3867
Phone (718) 799-0958

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Linke Ma Medical Office P.C. CurrentSince Oct 28, 2023 Accepting new patients
North Shore-Lij Medical PC Family Medicine CurrentSince Aug 21, 2019 Accepting new patients

Locations

13630 Maple Ave
Ste 2B
Flushing, NY 11355
Phone (718) 353-8882

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

888 Old Country Rd
Plainview, NY 11803
Phone (516) 719-2543

300 Community Dr
Plandome, NY 11030

9525 Queens Blvd
Rego Park, NY 11374
Phone (718) 286-1000

9525 Queens Blvd
Frnt 3
Rego Park, NY 11374
Phone (718) 406-8000

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AFHICD/Endpoint/AFHICD
  • Direct secure messaging: linkema@nslijmedgr.allscriptsdirect.net

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": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1932553427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13630 MAPLE AVE STE 2B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553867",
            "telephone_number": "718-799-0958",
            "fax_number": "718-799-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13630 MAPLE AVE STE 2B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553867",
            "telephone_number": "718-799-0958",
            "fax_number": "718-799-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "LINKE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-20",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "299566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.