Individual provider Active NPI

Kim Starer Landzberg, M.D.

  • Ophthalmology Physician
  • Bronx, NY
National Provider Identifier
1942218151
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
205486 Issued in NY
Practice address
2600 Netherland Ave
Suite 101
Bronx, NY 10463-4801
Phone
(718) 548-5500
Fax
(718) 549-0190
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 205486 NY Primary

Addresses

Primary practice location

2600 Netherland Ave
Suite 101
Bronx, NY 10463-4801

Mailing address

2600 Netherland Ave
Suite 101
Bronx, NY 10463-4801
Phone (718) 548-5500

Other identifiers 2

IdentifierTypeStateIssuer
02088113MedicaidNY
180003263OtherNYRAILROAD MEDICARE

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
I20071210000223 NY Practitioner - Ophthalmology 9739278086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albert Einstein College of Medicine of Yeshiva University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leslie E Gordon MD PCGroup PAC ID 2769899913, 2 clinicians

Practice addresses (Care Compare)

2600 Netherland Ave
Suite 102
Bronx, NY 10463-4813
Phone (718) 548-5500

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery80

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Leslie E. Gordon, MD P.C. CurrentSince Nov 1, 2021 Accepting new patients

Locations

2600 Netherland Ave
Ste 101
Bronx, NY 10463
Phone (718) 548-5500

2600 Netherland Ave
Ste 102
Bronx, NY 10463
Phone (718) 548-5500

3777 Broadway
New York, NY 10032
Phone (212) 926-0336

Networks

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1942218151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 NETHERLAND AVE",
            "address_2": "SUITE 101",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634801",
            "telephone_number": "718-548-5500",
            "fax_number": "718-549-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 NETHERLAND AVE",
            "address_2": "SUITE 101",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634801",
            "telephone_number": "718-548-5500",
            "fax_number": "718-549-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDZBERG",
        "first_name": "KIM",
        "middle_name": "STARER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "205486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02088113",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180003263",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.