Organization Active NPI

Lansky Medical LLC

  • General Practice Physician
  • Orlando, FL
National Provider Identifier
1013379015
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN597 Issued in FL
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

Updated by the provider on Mar 28, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Meyer Lansky, MDNPI 1851520357
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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
013637800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160823000829 FL Part B Supplier - Clinic/Group Practice 3476848938 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2115095Lansky Medical3900 S Goldenrod St Ste 142, Orlando, FL 32822Certificate of waiverJun 27, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.