| Linden Family Medical Llc | |
|
850 N Wood Ave Linden NJ 07036-4038 | |
| (908) 925-9309 | |
| (908) 925-7910 |
| Full Name | Linden Family Medical Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 850 N Wood Ave, Linden, New Jersey |
| Authorized Official Name and Position | Kevin E. Lukenda (DOCTOR OWNER) |
| Authorized Official Contact | 9089259309 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Linden Family Medical Llc 850 N Wood Ave Linden NJ 07036-4038 Ph: (908) 925-9309 | Linden Family Medical Llc 850 N Wood Ave Linden NJ 07036-4038 Ph: (908) 925-9309 |
| NPI Number | 1427095835 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6901903475 |
|---|---|
| Medicare Enrollment ID | O20070517000150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427095835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MB55113 (New Jersey) | Primary |
| Provider Name | Kevin Lukenda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467407759 PECOS PAC ID: 0446290555 Enrollment ID: I20050509000548 |
| Provider Name | Naishami Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780998807 PECOS PAC ID: 5294904975 Enrollment ID: I20110815000461 |
| Provider Name | Megan E Madara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073858304 PECOS PAC ID: 6507091741 Enrollment ID: I20131024001220 |
| Provider Name | Nagavalli Thiruvalluvan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467702704 PECOS PAC ID: 0143456632 Enrollment ID: I20131111000392 |
| Provider Name | Lisa M Genova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386017507 PECOS PAC ID: 2466754155 Enrollment ID: I20160113000088 |
| Provider Name | Robert Anokye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316399744 PECOS PAC ID: 6002182664 Enrollment ID: I20171026000058 |
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