Active NPI
Jennifer Lander, DVM
- Veterinarian
- New York, NY
National Provider Identifier
1457787236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 007654
- Practice address
- 1623 3Rd Ave
Apt 9KW
New York, NY 10128-3638 - Phone
- (917) 621-7159
- NPI assigned
- Sep 24, 2013
- 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 |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 007654 | NY | Primary |
Addresses
Primary practice location
1623 3Rd Ave
Apt 9KW
New York, NY 10128-3638
Mailing address
1623 3Rd Ave
Apt 9KW
New York, NY 10128-3638
Phone (917) 621-7159
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007654 | Other | NY | LICENSE NUMBER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007654 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379980800000",
"number": "1457787236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1623 3RD AVE",
"address_2": "APT 9KW",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101283638",
"telephone_number": "917-621-7159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1623 3RD AVE",
"address_2": "APT 9KW",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101283638",
"telephone_number": "917-621-7159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDER",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-24",
"last_updated": "2013-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "NY",
"license": "007654",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "007654",
"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 Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.