Phyllis Susan Landau, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

113188 Issued in NY

Practice address

235 East 42ND Street
Mailstop 150386
New York, NY 10017

Phone

(917) 572-7894

Fax

(212) 808-8679

NPI assigned

Apr 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232668800000",
    "number": "1912020017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 EAST 42ND STREET",
            "address_2": "MAILSTOP 150386",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10017",
            "telephone_number": "917-572-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 EAST 42ND STREET",
            "address_2": "MAILSTOP 150386",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10017",
            "telephone_number": "917-572-7894",
            "fax_number": "212-808-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDAU",
        "first_name": "PHYLLIS",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2009-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "113188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00205101",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dylan Landau, MD
• Heather J Landau, M.D.
• Jessica Landau
• Karen Wendy Landau, MD
• Laura Marie Landau, LCSW
• Ruth Landau Landau, M.D.
• Zoe Aliyah Landau, MD
• Mario E. Landaverde, RDN
• Margaly Lande
• Amber Landeau Keinan, LMSW

• Pediatrics Physician in New York, NY
• Providers in New York, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.