Organization Active NPI

Mt. Vernon Spine and Joint Medicine PC

  • Internal Medicine Physician
  • Mt. Vernon, NY
National Provider Identifier
1629600143
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MT. VERNON SPINE AND JOINT MEDICINE PC
Practice address
704 Locust St
Mt. Vernon, NY 10552-2111
Phone
(914) 699-6763
Fax
(914) 699-0070
NPI assigned
Feb 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Dr. Landis Lloyd Barnes, D.O.
Title
President
Phone
(914) 699-6763

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

704 Locust St
Mt. Vernon, NY 10552-2111

Mailing address

704 Locust St
Mt. Vernon, NY 10552-2111
Phone (914) 699-6763

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1629600143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 LOCUST ST",
            "city": "MT. VERNON",
            "state": "NY",
            "postal_code": "105522111",
            "telephone_number": "914-699-6763",
            "fax_number": "914-699-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 LOCUST ST",
            "city": "MT. VERNON",
            "state": "NY",
            "postal_code": "105522111",
            "telephone_number": "914-699-6763",
            "fax_number": "914-699-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. VERNON SPINE AND JOINT MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "LANDIS",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-699-6763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt. Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.