Active NPI
Merric Landy, MD
- Diagnostic Radiology Physician
- Salem, MA
National Provider Identifier
1124012133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 37564
- Practice address
- 81 Highland Ave
Salem, MA 01970-2714 - Phone
- (978) 741-1215
- NPI assigned
- Sep 6, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 37564 | MA | Primary |
Addresses
Primary practice location
81 Highland Ave
Salem, MA 01970-2714
Mailing address
PO Box 9135
Attn:Sharon Silva
Brookline, MA 02446-9135
Phone (800) 927-0002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6169473 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MRI Radiologists of the N Shore Inc | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Peabody, MA
- NPI 1710964572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124012133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9135",
"address_2": "ATTN:SHARON SILVA",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024469135",
"telephone_number": "800-927-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 HIGHLAND AVE",
"city": "SALEM",
"state": "MA",
"postal_code": "019702714",
"telephone_number": "978-741-1215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDY",
"first_name": "MERRIC",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "37564",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6169473",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.