NPIMap

Organization Active NPI

New York Immunology

  • Allergy & Immunology Physician
  • Flushing, NY
National Provider Identifier
1356669774
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
184552 Issued in NY
Legal business name
NEW YORK IMMUNOLOGY
Practice address
6920 Main St
Flushing, NY 11367-1703
Phone
(718) 793-9020
Fax
(718) 261-4220
NPI assigned
May 10, 2010
Last updated
May 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2010

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

Authorized official

Name
Dr. Michael LandorNPI 1245293687
Title
Director
Phone
(718) 793-9020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 184552 NY Primary

Addresses

Primary practice location

6920 Main St
Flushing, NY 11367-1703

Mailing address

6920 Main St
Flushing, NY 11367-1703
Phone (718) 793-9020

Other identifiers 1

IdentifierTypeStateIssuer
01694724MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
New York Immunology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1356669774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671703",
            "telephone_number": "718-793-9020",
            "fax_number": "718-261-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671703",
            "telephone_number": "718-793-9020",
            "fax_number": "718-261-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK IMMUNOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "LANDOR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-793-9020",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "184552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01694724",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.