Individual provider Active NPI

Gennady Landa, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • New York, NY
National Provider Identifier
1083893770
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
262738 Issued in NY
Practice address
321 E 13TH St Apt 7a
New York, NY 10003-5818
Phone
(646) 717-0517
NPI assigned
Oct 30, 2007
Last updated
Mar 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 262738 NY
Retina Specialist (Ophthalmology) Physician 207WX0107X 262738 NY Primary

Addresses

Primary practice location

321 E 13TH St Apt 7a
New York, NY 10003-5818

Mailing address

321 E 13TH St Apt 7a
New York, NY 10003-5818
Phone (212) 614-8312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110323000916 NY Practitioner - Ophthalmology 6002099389 Reassigns benefits to 1 organization
Practice locations: New York, NY; Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

310 E 14TH St
Opthalmology Department of Mount Sinai
New York, NY 10003-4201
Phone (212) 241-0939

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
262738NYMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Dec 7, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Dec 7, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
Alexander Rabinovich Medical PC Ophthalmology PastSince Sep 24, 2009 Accepting new patients

Locations

4564 Francis Lewis Blvd
Bayside, NY 11361
Phone (718) 225-6100

1630 E 15th St
Ste 203
Brooklyn, NY 11229
Phone (212) 375-6933

393 Old Country Rd
Ste 301
Carle Place, NY 11514
Phone (516) 408-4900

218 2nd Ave
New York, NY 10003
Phone (212) 979-4000

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

310 E 14th St
#319
New York, NY 10003
Phone (212) 979-4500

310 E 14th St
Ste 319
New York, NY 10003
Phone (212) 979-4500

77 Worth St
New York, NY 10013
Phone (212) 966-3901

77 Worth St
Frnt 1
New York, NY 10013
Phone (212) 257-6900

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1083893770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E 13TH ST APT 7A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100035818",
            "telephone_number": "212-614-8312",
            "fax_number": "212-614-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E 13TH ST APT 7A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100035818",
            "telephone_number": "646-717-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDA",
        "first_name": "GENNADY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-30",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "262738",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "262738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.