Individual provider Active NPI

Mark J Landsman, DPM

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
National Provider Identifier
1679676647
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N004344 Issued in NY
Practice address
42 Broadway
Suite 1530
New York, NY 10004-1617
Phone
(212) 785-1717
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N004344 NY Primary

Addresses

Primary practice location

42 Broadway
Suite 1530
New York, NY 10004-1617

Mailing address

133 E 54TH St
New York, NY 10022-4538
Phone (212) 785-1717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130128000212 NY Practitioner - Podiatry 4587818661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manhattan Podiatry Associates, PCGroup PAC ID 0143404012, 3 clinicians

Practice addresses (Care Compare)

133 E 54TH St
RM 202B
New York, NY 10022-4538
Phone (212) 759-9090

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue42
Removal of skin lesions1-10
Removal of nail tissue21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004344NYMDMental Health Counselor
N004344NYMDFoot & Ankle Surgery Podiatrist

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1679676647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E 54TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224538",
            "telephone_number": "212-785-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 BROADWAY",
            "address_2": "SUITE 1530",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041617",
            "telephone_number": "212-785-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDSMAN",
        "first_name": "MARK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N004344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.