Individual provider Active NPI

Katsiaryna Landviger

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1710497599
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2665 Homecrest Ave Apt 2J
Brooklyn, NY 11235-4533
Phone
(347) 968-4809
NPI assigned
Oct 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2665 Homecrest Ave Apt 2J
Brooklyn, NY 11235-4533

Mailing address

2665 Homecrest Ave Apt 2J
Brooklyn, NY 11235-4533
Phone (347) 968-4809

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210701002260 PA Practitioner - Physician Assistant 2163823832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1120 Cocoa Ave
Hershey, PA 17033-1712
Phone (717) 533-4141

503 N 21St St
Camp Hill, PA 17011-2204
Phone (717) 763-2100

800 Poplar Church Rd
Camp Hill, PA 17011-2205
Phone (717) 763-0510

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
65.84
Promoting interoperability
100
Improvement activities
40
Cost
77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC CurrentSince Jun 28, 2021 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Jun 28, 2021 Accepting new patients
Penn State Health Medical Group, LLC Past Accepting new patients

Locations

800 Poplar Church Rd
Camp Hill, PA 17011
Phone (717) 761-6545

1211 Forge Rd
Ste 200
Carlisle, PA 17013
Phone (717) 241-5070

4230 Crums Mill Rd
Ste 100
Harrisburg, PA 17112
Phone (717) 233-6171

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

50 N 12th St
Lemoyne, PA 17043
Phone (717) 243-2561

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1710497599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 HOMECREST AVE APT 2J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354533",
            "telephone_number": "347-968-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 HOMECREST AVE APT 2J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354533",
            "telephone_number": "347-968-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDVIGER",
        "first_name": "KATSIARYNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.