Individual provider Active NPI

Robyn Landau

  • Speech-Language Pathologist
  • Roslyn, NY
National Provider Identifier
1457483737
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0094191 Issued in NY
Practice address
1441 Old Northern Blvd
Roslyn, NY 11576-2146
Phone
(516) 625-6846
NPI assigned
Mar 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 0094191 NY Primary

Addresses

Primary practice location

1441 Old Northern Blvd
Roslyn, NY 11576-2146

Mailing address

183 Sunrise LN
Levittown, NY 11756-4449

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120228000345 NY Practitioner - Qualified Speech Language Pathologist 9638337264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Nova Southeastern Univ College of Dental Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Shield of David, Inc.Group PAC ID 2264472026, 15 clinicians

Practice addresses (Care Compare)

14461 Roosevelt Ave
Flushing, NY 11354-6252
Phone 71893987001311

3909 214TH PL
Bayside, NY 11361-2123
Phone 71822957572289

The Shield Institute
Flushing, NY 11354-6252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009419NYMDOptician
0094191NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Shield of David, Inc. CurrentSince Jan 22, 2012 Accepting new patients

Locations

14461 Roosevelt Ave
Flushing, NY 11354
Phone (718) 886-1534

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457483737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 SUNRISE LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117564449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 OLD NORTHERN BLVD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762146",
            "telephone_number": "516-625-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDAU",
        "first_name": "ROBYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0094191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, 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.