Individual provider Active NPI

Shari Lynn Lando

  • Specialist
  • Deer Park, NY
National Provider Identifier
1194147025
Registry record updated Jan 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
29 Nantucket LN
Deer Park, NY 11729-1012
Phone
(631) 667-2569
NPI assigned
Jan 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NY Primary

Addresses

Primary practice location

29 Nantucket LN
Deer Park, NY 11729-1012

Mailing address

29 Nantucket LN
Deer Park, NY 11729-1012
Phone (631) 667-2569

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1389484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389484800000",
    "number": "1194147025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 NANTUCKET LN",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291012",
            "telephone_number": "631-667-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 NANTUCKET LN",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291012",
            "telephone_number": "631-667-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDO",
        "first_name": "SHARI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-12",
        "last_updated": "2014-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.