Active NPI
New York Immunology PC
- Specialist
- Flushing, NY
National Provider Identifier
1720040629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 184552
- Legal business name
- NEW YORK IMMUNOLOGY PC
- Practice address
- 6920 Main St
Flushing, NY 11367-1703 - Phone
- (718) 793-9020
- NPI assigned
- Apr 5, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Landor, MD
- Title
- Director Officer
- Phone
- (718) 793-9020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 184552 | NY | |
| Specialist | 174400000X | 184552 | NY | Primary |
Addresses
Primary practice location
6920 Main St
Flushing, NY 11367-1703
Mailing address
6920 Main St
Flushing, NY 11367-1703
Phone (718) 793-9020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01694724 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- New York Immunology
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Allergy & Immunology Physician
- Flushing, NY
- NPI 1356669774
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Flushing, NY
- NPI 1245293687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1720040629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6920 MAIN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113671703",
"telephone_number": "718-793-9020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6920 MAIN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113671703",
"telephone_number": "718-793-9020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW YORK IMMUNOLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-05",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "LANDOR",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "DIRECTOR OFFICER",
"authorized_official_telephone_number": "718-793-9020",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "NY",
"license": "184552",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "184552",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01694724",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
- New York Hospital Queens
- New York Hospital Queens
- New York Hospital Queens
- New York Hospital Queens Ambulance
- New York Immunology
- New York Integrative Care Physical Therapy and Acupuncture PLLC
- New York League for Early Learning - the Clearview School
- New York League for Early Learning - the Clearview School
- New York Medical Diagnostic Imaging PC
- New York Medical Diagnostic Imaging PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.