Individual provider Active NPI

Warren H Landesberg, D.C.

  • Sports Physician Chiropractor
  • Briarcliff Manor, NY
National Provider Identifier
1285664714
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
X2977 Issued in NY
Practice address
1250 Pleasantville Rd
Briarcliff Manor, NY 10510-1632
Phone
(914) 941-2710
Fax
(914) 941-3267
NPI assigned
Jul 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X X2977 NY Primary
Sports Physician Chiropractor 111NS0005X CH4016 FL

Addresses

Primary practice location

1250 Pleasantville Rd
Briarcliff Manor, NY 10510-1632

Mailing address

1250 Pleasantville Rd
Briarcliff Manor, NY 10510-1632
Phone (914) 941-2710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070412000050 NY Practitioner - Chiropractic 8224133756 Practice locations: Briarcliff Manor, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

127 Woodside Ave
Suite 101
Briarcliff Manor, NY 10510-1467
Phone (914) 941-2710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH4016FLMDSports Physician Chiropractor
X2977NYMDSports Physician Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285664714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 PLEASANTVILLE RD",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101632",
            "telephone_number": "914-941-2710",
            "fax_number": "914-941-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 PLEASANTVILLE RD",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101632",
            "telephone_number": "914-941-2710",
            "fax_number": "914-941-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDESBERG",
        "first_name": "WARREN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "X2977",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH4016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Briarcliff Manor, NY

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.