Jennifer Landa, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

208248 Issued in NY

Practice address

175 Lookout PL
Ste 201
Maitland, FL 32751-8434

Phone

(888) 788-5821

Fax

(866) 402-5245

NPI assigned

Dec 28, 2005

Last updated

Oct 21, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 25, 2021 through May 25, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Insightbio Health and Wellness LLC

  dba InsightBio Health

  • Health Service Clinic/Center
  • Maitland, FL
  • NPI 1780325563
  NPD Authorized official
• Jennifer Landa, LLC of Florida

  dba BodyLogicMD of Orlando

  • Specialist
  • Maitland, FL
  • NPI 1376785980
  NPD (past) Authorized official
• Advanced Womens Medical

  • Obstetrics & Gynecology Physician
  • Carmel, NY
  • NPI 1164562153
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1447237805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 LOOKOUT PL",
            "address_2": "STE 201",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327518434",
            "telephone_number": "888-788-5821",
            "fax_number": "866-402-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 LOOKOUT PL",
            "address_2": "STE 201",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327518434",
            "telephone_number": "888-788-5821",
            "fax_number": "866-402-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDA",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "208248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02251710",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Lynn Laidler
• Lake Howell Eye Associates, LLC
• Lake Howell Family Medicine Associates
• Ashley Lake
• Mary Allison Lambert, LCSW
• John Jay Landin, M.A.
• Victoria Landis, M.A., CCC-SLP
• Timothy W Langerholc, LMHC
• Donna Lynn Lapalm, MHC RI
• Anthony L. Laporte, CRNA

• Obstetrics & Gynecology Physician in Maitland, FL
• Providers in Maitland, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.