Individual provider Active NPI

Gregg S Landis, M.D.

  • Vascular Surgery Physician
  • New Hyde Park, NY
National Provider Identifier
1932156916
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
221796 Issued in NY
Practice address
1999 Marcus Ave
Suite 106B
New Hyde Park, NY 11042-1033
Phone
(516) 233-3607
Fax
(718) 962-2239
NPI assigned
May 27, 2006
Last updated
Aug 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 221796 NY
Vascular Surgery Physician 2086S0129X 221796 NY Primary

Addresses

Primary practice location

1999 Marcus Ave
Suite 106B
New Hyde Park, NY 11042-1033

Mailing address

1999 Marcus Ave
Suite 106B
New Hyde Park, NY 11042-1033
Phone (516) 233-3607

Other identifiers 3

IdentifierTypeStateIssuer
02270024MedicaidNY
P00262367OtherNYRAILROAD MEDICARE - CRT
00770KOtherNYMEDICARE PTAN - NYHMCQ-AMBSURG

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
I20040930000330 NY Practitioner - Vascular SurgeryPractitioner - General Surgery 4688643299 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Rutgers New Jersey Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians
North Shore-Lij Medical Group at Huntington PCGroup PAC ID 7214357086, 46 clinicians

Practice addresses (Care Compare)

10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (718) 830-4000

1999 Marcus Ave
Suite 101
New Hyde Park, NY 11042-1033
Phone (516) 233-3601

27005 75TH Ave
New Hyde Park, NY 11040-1402

27005 76TH Ave GF
New Hyde Park, NY 11040-1402
Phone (718) 470-7501

300 Community Dr
Manhasset, NY 11030-3816

300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229

330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550

350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal34
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
221796NYMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Feb 1, 2013 Accepting new patients
North Shore-Lij Medical Group at Huntington PC Surgery CurrentSince Oct 1, 2025 Accepting new patients
North Shore Lij Medical Group at North Nassau, PC CurrentSince Sep 30, 2024 Accepting new patients
CRT Surgical Associates, PC Surgery Past Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients
North Shore University Hospital Past Accepting new patients
Beth Israel Medical Center Past Accepting new patients
Docs Physicians Affiliated With Bimc Surgery Past Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

70 Glen St
Ste 200
Glen Cove, NY 11542
Phone (516) 484-7893

16501 Chapin Pkwy
Jamaica, NY 11432
Phone (718) 739-2523

300 Community Dr
Manhasset, NY 11030

1999 Marcus Ave
Ste 106B
New Hyde Park, NY 11042
Phone (516) 233-3701

2001 Marcus Ave
Ste S50
New Hyde Park, NY 11042
Phone (516) 355-2277

27005 76th Ave
North New Hyde Pk, NY 11040

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376006400000",
    "number": "1932156916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 MARCUS AVE",
            "address_2": "SUITE 106B",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421033",
            "telephone_number": "516-233-3607",
            "fax_number": "718-962-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 MARCUS AVE",
            "address_2": "SUITE 106B",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421033",
            "telephone_number": "516-233-3607",
            "fax_number": "718-962-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDIS",
        "first_name": "GREGG",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2013-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "221796",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "221796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02270024",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE - CRT",
            "identifier": "P00262367",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN - NYHMCQ-AMBSURG",
            "identifier": "00770K",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.