Physician Landing Zone, P.C.

Key facts

NPI

1689008997

Entity type

Organization (NPI type 2)

Primary specialty

Internal Medicine Physician 207R00000X

License

MD038760L (PA)

Legal business name

PHYSICIAN LANDING ZONE, P.C.

Practice address

224 Longfellow St
Suite 200
Vandergrift, PA 15690-1476

Phone

(724) 568-5551

Fax

(724) 568-3137

NPI assigned

Aug 23, 2013

Organization subpart

No

Authorized official

Name

Dr. William Goldfarb, MD

Title

President

Phone

(412) 578-7080

Practitioners 1

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

• Mary C Martini, MD Dermatology Physician · Pittsburgh, PA · NPI 1750314688
  NPD (past)

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• Mohan Patel, MD Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 23, 2013.

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1689008997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 5TH AVE",
            "address_2": "MAIL DROP 2516",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152223000",
            "telephone_number": "412-544-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 LONGFELLOW ST",
            "address_2": "SUITE 200",
            "city": "VANDERGRIFT",
            "state": "PA",
            "postal_code": "156901476",
            "telephone_number": "724-568-5551",
            "fax_number": "724-568-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN LANDING ZONE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-23",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "GOLDFARB",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-578-7080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD038760L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS SPECIALITY CODES",
            "identifier": "11",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "207RG0300X",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mohan Patel, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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All providers in Vandergrift, PA · Internal Medicine Physician in Pennsylvania