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AKIDO MEDICAL PLLC
NPI 1144118142
General Practice in Brooklyn, NY

Active since June 26, 2025CLIA 33D2328181 · Waiver
101 BROADWAY, SUITE 301, BROOKLYN, NY 11249(213) 348-6051 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 7, 2026, Jun 27, 2025 (2 updates tracked since 2025).

About Akido Medical Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AKIDO MEDICAL PLLC (NPI 1144118142) is a healthcare organization registered as a general practice in Brooklyn, New York and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through August 5, 2027 and lists Jared Goodner, Officer, Secretary, as its authorized official.

NPPES Registry Identity

NPI1144118142
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameAKIDO MEDICAL PLLC
Location Address101 BROADWAY, SUITE 301Brooklyn, NY 11249-6034
Mailing Address8605 Santa Monica Blvd, Pmb 17538West Hollywood, CA 90069-4109
Phone(213) 348-6051
Organization SubpartNo
Authorized OfficialJared GoodnerOfficer, Secretary · (213) 348-6051
Enumeration DateJune 26, 2025
Last NPPES UpdateApril 7, 20262 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1144118142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
101 BROADWAY, Brooklyn, NY 11249
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2328181

Akido Medical PLLC · Brooklyn, NY
Active · expires Aug 5, 2027
CLIA Number33D2328181
Laboratory TypePhysician Office
Certificate Effective DateAugust 6, 2025
Certificate Expiration DateAugust 5, 2027
Laboratory DirectorDeepa Nagar
Laboratory Phone(718) 540-8682
Laboratory LocationAkido Medical PLLC101 Broadway Ste 301, Brooklyn, NY 11249
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIM CANTY MD PLLC
Specialist
101 BROADWAY, B02
BROOKLYN, NY 11249
Kings County (917) 524-7246
ELIZABETH MERCADO AUD
Audiologist
101 BROADWAY, SUITE 201
BROOKLYN, NY 11249
Kings County (718) 484-6120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Akido Medical PLLC's NPI number?

The NPI number for Akido Medical PLLC is 1144118142. It was assigned to this organization in the NPPES registry on June 26, 2025.

Where is Akido Medical PLLC located?

Akido Medical PLLC is located at 101 Broadway Suite 301, Brooklyn, NY 11249. The listed phone number is (213) 348-6051.

What is Akido Medical PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Akido Medical PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2328181) is associated with this NPI, valid through August 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Akido Medical PLLC was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.