Dov B Landa, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

011202 Issued in NY

Practice address

138 Division Ave
Brooklyn, NY 11211-7117

Phone

(718) 387-2408

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dlanda@hiemail.healtheconnections.org

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.

• Vladimir Zelenko M.D. P.C.

  • Family Medicine Physician
  • Monroe, NY
  • NPI 1063669562
  Medicare reassignment
• West 49TH Street Medical Practice, PC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1164702627
  Medicare reassignment
• Tov HMC LLC

  • Family Medicine Physician
  • Pomona, NY
  • NPI 1952069304
  NPD (past) Authorized official
• Lich Faculty Practice

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1104018902

  Physician Assistant

  NPD (past)
• Long Island College Hospital

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1912091828

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231286400000",
    "number": "1821133661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 LEFFERTS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031213",
            "telephone_number": "718-774-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 DIVISION AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117117",
            "telephone_number": "718-387-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDA",
        "first_name": "DOV",
        "middle_name": "B",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2009-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deirdre Lance
• Dionisia Lancelot, LPN
• Lindsay Alexis Lanciault, SLP
• Albert Landa, PT
• Chaya Bracha Landa
• Esteban Landa Jr.
• Lauren Landa
• Rochel L Landa
• Victoria E Landa
• Henry S Landais

• Physician Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.