Individual provider Active NPI

Jonathan V Landon, MD

  • Plastic and Reconstructive Surgery Physician
  • Babylon, NY
National Provider Identifier
1902157985
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
255681-1 Issued in NY
Practice address
98 Park Ave
Babylon, NY 11702-1709
Phone
(631) 482-1840
Fax
(631) 482-1841
NPI assigned
Oct 1, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 255681-1 NY Primary

Addresses

Primary practice location

98 Park Ave
Babylon, NY 11702-1709

Mailing address

98 Park Ave
Babylon, NY 11702-1709
Phone (631) 482-1840

Other names 1

  • Dr. Jonathan V. Landon Professional name

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161214000239 NY Practitioner - Plastic and Reconstructive Surgery 3870873656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
State University of Ny Upstate Medical University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

98 Park Ave
Babylon, NY 11702-1709
Phone (631) 482-1840

Hospital & facility affiliations

  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision35
Removal of tissue95
Removal of skin lesions123
Removal or shaving of skin growth1-10
Skin biopsy55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
255681-1NYMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan V. Landon MD P.C. Plastic and Reconstructive Surgery CurrentSince Aug 28, 2016 Accepting new patients

Locations

98 Park Ave
Babylon, NY 11702
Phone (631) 482-1200

786 Montauk Hwy
West Islip, NY 11795
Phone (631) 376-6075

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.

Hospital & facility affiliations 1

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": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1902157985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117021709",
            "telephone_number": "631-482-1840",
            "fax_number": "631-482-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117021709",
            "telephone_number": "631-482-1840",
            "fax_number": "631-482-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDON",
        "first_name": "JONATHAN",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-01",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "255681-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONATHAN",
            "last_name": "LANDON",
            "middle_name": "V.",
            "prefix": "DR.",
            "credential": "MD, P.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Babylon, NY

Sources for this page

Verify at the official NPI Registry.