Individual provider Active NPI

Eric Landi, D.C.

  • Chiropractor
  • Hillsdale, NJ
National Provider Identifier
1538587688
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
70012400 Issued in NY
Practice address
20 Bradshaw CT
Hillsdale, NJ 07642-2452
Phone
(845) 641-0555
NPI assigned
Apr 4, 2014
Last updated
Aug 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 70012400 NY Primary

Addresses

Primary practice location

20 Bradshaw CT
Hillsdale, NJ 07642-2452

Mailing address

777 Chestnut Ridge Rd Ste 102
Chestnut Ridge, NY 10977-7201
Phone (845) 356-4848

Other practice location 1

777 Chestnut Ridge Rd Ste 102
Chestnut Ridge, NY 10977-7201
Phone (845) 356-4848

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180411002232 NY Practitioner - Chiropractic 1759644495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

747 Chestnut Ridge Rd
Suite 203
Chestnut Ridge, NY 10977-6225
Phone (845) 356-4848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012400NYMDMental Health Counselor
70012400NYMDChiropractor

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": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1538587688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CHESTNUT RIDGE RD STE 102",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109777201",
            "telephone_number": "845-356-4848",
            "fax_number": "845-352-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BRADSHAW CT",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076422452",
            "telephone_number": "845-641-0555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Chestnut Ridge Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Chestnut Ridge",
            "state": "NY",
            "postal_code": "109777201",
            "country_code": "US",
            "telephone_number": "845-356-4848",
            "fax_number": "845-352-5664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDI",
        "first_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-04",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "70012400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.