Individual provider Active NPI

Dan Simon Landmann, M.D.

  • Ophthalmology Physician
  • River Edge, NJ
National Provider Identifier
1407034945
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA09380100 Issued in NJ
Practice address
63 Grand Ave
Suite 137
River Edge, NJ 07661
Phone
(201) 696-2646
Fax
(201) 485-6570
NPI assigned
Feb 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 048413 CT
Ophthalmology Physician 207W00000X 25MA09380100 NJ Primary

Addresses

Primary practice location

63 Grand Ave
Suite 137
River Edge, NJ 07661

Mailing address

63 Grand Ave
Suite 137
River Edge, NJ 07661
Phone (201) 696-2646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131118000474 NJ Practitioner - Ophthalmology 0648301952 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tufts University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

63 Grand Ave
Suite 137
River Edge, NJ 07661-1930
Phone (201) 696-2646

Hospital & facility affiliations

  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
048413CTMDOphthalmology Physician
25MA09380100NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Sep 1, 2014 Accepting new patients
Dan Landmann MD LLC Ophthalmology CurrentSince Feb 9, 2014 Accepting new patients
Morristown Eye Consultants PA Ophthalmology CurrentSince Jun 10, 2015 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Sep 1, 2014 Accepting new patients
Stamford Ophthalmology, LLC PastSince Apr 4, 1994 Accepting new patients
Stamford Ophthalmology, LLC Ophthalmology Past Accepting new patients
Dermatology Specialists LLC PastSince Jul 1, 2015 Accepting new patients

Locations

20 Prospect Ave
Ste 702
Hackensack, NJ 07601
Phone (201) 441-9890

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

113 W Essex St
Ste 204
Maywood, NJ 07607
Phone (201) 289-5551

261 James St
Ste 2D
Morristown, NJ 07960
Phone (973) 540-1819

63 Grand Ave
Ste 137
River Edge, NJ 07661
Phone (201) 606-2646

250 Old Hook Rd
Fl 3
Westwood, NJ 07675
Phone (201) 594-9901

Interoperability endpoints

  • Direct secure messaging: dlandmann@hiemail.healtheconnections.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1407034945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 GRAND AVE",
            "address_2": "SUITE 137",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "07661",
            "telephone_number": "201-696-2646",
            "fax_number": "201-485-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 GRAND AVE",
            "address_2": "SUITE 137",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "07661",
            "telephone_number": "201-696-2646",
            "fax_number": "201-485-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDMANN",
        "first_name": "DAN",
        "middle_name": "SIMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-06",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "048413",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA09380100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Edge, NJ

Sources for this page

Verify at the official NPI Registry.