Jeannette Cano-Landivar Medical Office PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JEANNETTE CANO-LANDIVAR MEDICAL OFFICE PC

Doing business as

Everest Medical Group

Practice address

3747 77TH St
Jackson Heights, NY 11372-6629

Phone

(917) 745-0067

Fax

(917) 745-0099

NPI assigned

Apr 15, 2021

Organization subpart

No

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

Authorized official

Name

Jeannette Cano-Landivar, MDNPI 1538447438

Title

Medical Director

Phone

(718) 709-4721

Specialties & licenses 1

Addresses

Other names 1

• EVEREST MEDICAL GROUP Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeannette Elizabeth Cano-Landivar, M.D.

  • Internal Medicine Physician
  • Richmond Hill, NY
  • NPI 1538447438
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1558942243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10119 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182008",
            "telephone_number": "718-709-4721",
            "fax_number": "718-709-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3747 77TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726629",
            "telephone_number": "917-745-0067",
            "fax_number": "917-745-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNETTE CANO-LANDIVAR MEDICAL OFFICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "CANO-LANDIVAR",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-709-4721",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVEREST MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Payman Paul Jarrahy, M.D.
• Amal Jasentuliyana, LMT
• Kulwinder Kaur Jaswal, RN
• John A Jauregui, M.A.
• Mohammad Jawaid, M.D.
• Jeff K H Cheung Medicine PLLC
• Jeffrey D Haimson DMD PLLC
• Elena L. Jenkins, L.AC.
• Olive Nerissa Jennas Leung, LPN
• Vidhi Jethava

• Internal Medicine Physician in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.