Active NPI
Lansky Medical LLC
- General Practice Physician
- Orlando, FL
National Provider Identifier
1013379015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN597
- Legal business name
- LANSKY MEDICAL LLC
- Practice address
- 3900 S Goldenrod Rd Ste 142
Orlando, FL 32822-5629 - Phone
- (407) 985-3916
- Fax
- (407) 985-3917
- NPI assigned
- Mar 28, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Meyer Lansky, MD
- Title
- Owner
- Phone
- (407) 985-3916
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ACN597 | FL | Primary |
Addresses
Primary practice location
3900 S Goldenrod Rd Ste 142
Orlando, FL 32822-5629
Mailing address
3900 S Goldenrod Rd Ste 142
Orlando, FL 32822-5629
Phone (407) 985-3916
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013637800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2115095 | Lansky Medical | Certificate of waiver | Jun 27, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Orlando, FL
- NPI 1851520357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459123200000",
"number": "1013379015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 S GOLDENROD RD STE 142",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328225629",
"telephone_number": "407-985-3916",
"fax_number": "407-985-3917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 S GOLDENROD RD STE 142",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328225629",
"telephone_number": "407-985-3916",
"fax_number": "407-985-3917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANSKY MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-28",
"last_updated": "2016-03-28",
"status": "A",
"authorized_official_last_name": "LANSKY",
"authorized_official_first_name": "MEYER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-985-3916",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "FL",
"license": "ACN597",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "013637800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.