AKIDO MEDICAL PLLC NPI 1144118142

NPI Information

  • NPI: 1144118142
  • Provider Name: AKIDO MEDICAL PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 109 N 12TH ST STE 704
    BROOKLYN, NY
    ZIP 11249
  • Phone: (213) 348-6051

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NPI Details

AKIDO MEDICAL PLLC is a family medicine in Brooklyn, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. AKIDO MEDICAL PLLC NPI is 1144118142. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

109 N 12TH ST STE 704
BROOKLYN, NY
ZIP 11249-002
Phone: (213) 348-6051

The provider's authorized official is Jared Goodner .
The authorized official title is Officer, Secretary and has the following contact phone number (213) 348-6051.

The enumeration date for this NPI number is 6/26/2025 and was last updated on 6/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207PE0004XEmergency MedicineEmergency Medical ServicesNo
2207R00000XInternal MedicineNo
3207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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