LINDENWOOD MEDICAL PC
NPI 1811220882
Family Medicine - Adult Medicine in Staten Island, NY
About Lindenwood Medical Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LINDENWOOD MEDICAL PC (NPI 1811220882) is a healthcare organization registered as an adult medicine in Staten Island, New York and active in the NPI registry since September 2009. The organization lists Zoya Koroleva, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lindenwood Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Lindenwood Medical PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Lindenwood Medical PC's NPI number?
The NPI number for Lindenwood Medical PC is 1811220882. It was assigned to this organization in the NPPES registry on September 9, 2009.
Where is Lindenwood Medical PC located?
Lindenwood Medical PC is located at 11 Ralph Pl Ste 112, Staten Island, NY 10304. The listed phone number is (718) 954-2202.
What is Lindenwood Medical PC's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.
Is Lindenwood Medical PC enrolled in Medicare?
Yes. Lindenwood Medical PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lindenwood Medical PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Lindenwood Medical PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6), Family Practice (1) and Internal Medicine (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lindenwood Medical PC was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Lindenwood Medical Pc · NPI 1811220882
Adult Medicine organization in Staten Island, New York. Organization record, active in the CMS NPPES registry since September 9, 2009.
## Identity
- **NPI:** 1811220882 (Entity type: Organization)
- **Enumerated:** September 9, 2009
- **Primary specialty:** Family Medicine - Adult Medicine · taxonomy 207QA0505X
- **Organization subpart:** No
- **Authorized official:** Zoya Koroleva, MEDICAL DIRECTOR
## Practice location
- **Address:** 11 RALPH PL STE 112, Staten Island, NY 10304-4408
- **Phone:** (718) 954-2202
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Family Practice (1), Internal Medicine (1); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 4, 2022
- **Other identifiers:** Medicaid 03130027 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1811220882) · Data from the CMS NPPES public registry.