Active NPI
Ivan Patrick Landego, MD
- Hematology & Oncology Physician
- New York, NY
National Provider Identifier
1235866807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 11495201
- Practice address
- 504 E 63Rd St Apt 28M
New York, NY 10065-7931 - Phone
- (646) 468-5424
- NPI assigned
- Aug 4, 2022
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 11495201 | NY | Primary |
Addresses
Primary practice location
504 E 63Rd St Apt 28M
New York, NY 10065-7931
Mailing address
504 E 63Rd St Apt 28M
New York, NY 10065-7931
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11495201 | NY | MD | Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1235866807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 E 63RD ST APT 28M",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 E 63RD ST APT 28M",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657931",
"telephone_number": "646-468-5424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDEGO",
"first_name": "IVAN",
"middle_name": "PATRICK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-04",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NY",
"license": "11495201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.