Active NPI
Barbara Horan Landreth, M.D.
- Pediatrics Physician
- New York, NY
National Provider Identifier
1346324027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 175460
- Practice address
- 115 E 67TH St
Suite 1C
New York, NY 10021-5951 - Phone
- (212) 772-7569
- Fax
- (212) 327-4966
- NPI assigned
- Oct 25, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 175460 | NY | Primary |
Addresses
Primary practice location
115 E 67TH St
Suite 1C
New York, NY 10021-5951
Mailing address
115 E 67TH St
Suite 1C
New York, NY 10021-5951
Phone (212) 772-7569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 175460 | Other | NY | LICENSE |
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
Interoperability endpoints
- bal2001@direct.nyp.org
- blandreth296304@northwell.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346324027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 E 67TH ST",
"address_2": "SUITE 1C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215951",
"telephone_number": "212-772-7569",
"fax_number": "212-327-4966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E 67TH ST",
"address_2": "SUITE 1C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215951",
"telephone_number": "212-772-7569",
"fax_number": "212-327-4966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRETH",
"first_name": "BARBARA",
"middle_name": "HORAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "175460",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "175460",
"state": "NY"
}
],
"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 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.