Individual provider Active NPI

Robert J Landy, D.P.M.

  • Foot Surgery Podiatrist
  • West Islip, NY
National Provider Identifier
1093715633
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005031 Issued in NY
Practice address
400 Montauk Hwy
Suite 111
West Islip, NY 11795-4429
Phone
(631) 669-5440
Fax
(631) 669-4403
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N005031 NY Primary

Addresses

Primary practice location

400 Montauk Hwy
Suite 111
West Islip, NY 11795-4429

Mailing address

400 Montauk Hwy
Suite 111
West Islip, NY 11795-4429
Phone (631) 669-5440

Other identifiers 1

IdentifierTypeStateIssuer
01477669MedicaidNY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040315001386 NY Practitioner - Podiatry 2264321744 Reassigns benefits to 1 organization
Practice locations: Hicksville, NY; West Islip, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prine Health Medical Group, PLLCGroup PAC ID 1557600384, 77 clinicians

Practice addresses (Care Compare)

1129 Northern Blvd
Suite 101
Manhasset, NY 11030-3022
Phone (516) 407-2727

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99.37
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue482
Removal or shaving of skin growth278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005031NYMDAcupuncturist
N005031NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Prine Health Medical Group, PLLC CurrentSince Mar 1, 2023 Accepting new patients
Carlson Podiatric Care PLLC CurrentSince Mar 1, 2021 Accepting new patients
Prine Health Medical Group, PLLC CurrentSince Mar 1, 2023 Accepting new patients
North Shore Nephrology, PC Past Accepting new patients

Locations

20110 Northern Blvd
Ste 304
Bayside, NY 11361
Phone (516) 407-2727

370 Old Country Rd
Ste 100
Garden City, NY 11530
Phone (516) 222-1000

120 Bethpage Rd
Ste 306
Hicksville, NY 11801
Phone (516) 359-3720

1129 Northern Blvd
Ste 101
Manhasset, NY 11030
Phone (516) 365-5570

400 Montauk Hwy
Ste 111
West Islip, NY 11795
Phone (631) 587-9009

637 Willis Ave
Ste E
Williston Pk, NY 11596
Phone (516) 248-8188

Networks

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

Interoperability endpoints

  • Direct secure messaging: rlandy@prine.curemd.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235520000000",
    "number": "1093715633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MONTAUK HWY",
            "address_2": "SUITE 111",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954429",
            "telephone_number": "631-669-5440",
            "fax_number": "631-669-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MONTAUK HWY",
            "address_2": "SUITE 111",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954429",
            "telephone_number": "631-669-5440",
            "fax_number": "631-669-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDY",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2009-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01477669",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

Verify at the official NPI Registry.