JONATHAN V. LANDON MD P.C. (NPI# 1184171514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184171514 |
| Entity Type | Organization |
| Organization Name | JONATHAN V. LANDON MD P.C. |
| Other Organization Name | SOUTH SHORE PLASTIC & RECONSTRUCTIVE SURGERY |
| Practice Address |
786 Montauk Hwy West Islip NY 11795-4926 |
| Practice Telephone | 6316693700 |
| Practice Fax Number | 6316690222 |
| Mailing Telephone | (631) 669-3700 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2017-06-30 |
| Authorized Official Name | DR. JONATHAN V LANDON (OWNER/PRESIDENT) |
| Authorized Official Telephone | 6316693700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
255681-1 | NY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| South Shore Plastic & Reconstructive Surgery | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | JONATHAN V. LANDON MD P.C. | 325 Lakeview Ave West, Brightwaters, Ny 11718 |
| Street Address |
786 MONTAUK HWY |
| City | WEST ISLIP |
| State | NY |
| Zip Code | 11795-4926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013902634 | Sanford Abraham Ratzan | Orthopaedic Surgery | 786 Montauk Hwy, West Islip, NY 11795-4926 | 2005-09-20 |
| 1497376164 | Vr Deangelis Mdpc & Rt Domingo Mdpc | Surgery | 786 Montauk Hwy, West Islip, NY 11795-4926 | 2020-05-04 |
| 1922643501 | Amanda Capizzi | Physician Assistant | 786 Montauk Hwy, West Islip, NY 11795-4926 | 2019-11-07 |
| 1235649708 | Arnbjorn Wollebaek Toset Md PC | Surgery | 786 Montauk Hwy, West Islip, NY 11795-4926 | 2017-10-10 |
| 1730581034 | Firas Bridges Md. PC. | Surgery | 786 Montauk Hwy, West Islip, NY 11795-4926 | 2014-09-18 |
| 1902157985 | Jonathan V Landon | Surgery | 786 Montauk Hwy, West Islip, NY 11795-4926 | 2012-10-01 |
| 1164795779 | Keith Durante, Md, PC | Surgery | 786 Montauk Hwy, West Islip, NY 11795-4926 | 2012-02-13 |
| 1790053882 | Anthony Capizzi, Md, PC | Surgery | 786 Montauk Hwy, West Islip, NY 11795-4926 | 2011-12-05 |
| 1811125685 | Way F Lee M.d. PC | Surgery | 786 Montauk Hwy, West Islip, NY 11795-4926 | 2009-06-30 |
| 1184877185 | Arnbjorn Wollebaek Toset | Surgery | 786 Montauk Hwy, West Islip, NY 11795-4926 | 2008-11-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790843 | Aparna Kaleeckal Rajalakshmi | Student in an Organized Health Care Education/Training Program | 1000 Montauk Highway, Good Samaritan Hospital Medical C, Attention Stephanie Rodriguez, Graduate Medical Educati, West Islip, NY 11795 | 2020-04-28 |
| 1164087375 | South Shore Medical Services Pllc | Physician Assistant | 1175 Montauk Kwy, Suite 6, West Islip, NY 11795 | 2019-05-02 |
| 1841656030 | Asnis Dental Pllc | Dentist | 440 Montauk Highway, West Islip, NY 11795 | 2016-01-05 |
| 1376913731 | Erik Walter | Physician Assistant | 434 Union Blvd, West Islip, NY 11795 | 2015-09-29 |
| 1902202302 | Cathleen Degarmo | Specialist | 524 Everdell Ave, West Islip, NY 11795 | 2014-11-12 |
| 1902201098 | Caitlin Henderson | Nurse Practitioner | 500 Montauk Highway Suite W, Sarah Schwartz Md Pllc, West Islip, NY 11795 | 2014-10-31 |
| 1497182752 | Alyssa C Cervini | Social Worker | 145 Higbie Ln, West Islip, NY 11795 | 2013-10-02 |
| 1174966485 | John George Egner | Specialist | 1 Kennedylane, W Islip, NY 11795 | 2013-04-17 |
| 1902155369 | Timothy George M.d., P.C. | Pediatrics | 239 Higbie Lane, West Islip, NY 11795 | 2012-08-31 |
| 1124387824 | Dawn Marie Coughlin | Speech-Language Pathologist | 50 Cedar Point Drive, West Islip, NY 11795 | 2012-05-15 |
| Find all providers in zip 11795 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902157985 | Jonathan V Landon | Surgery | 786 Montauk Hwy, West Islip, NY 11795-4926 | 2012-10-01 |
| 1558405662 | Stephen U. Harris, Md Pllc | Surgery | 500 Montauk Hwy, Suite H, West Islip, NY 11795-4418 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780239590 | Rachel Susan Markow | Surgery | 229 7th St Ste 105, Garden City, NY 11530-5766 | 2019-08-08 |
| 1932614658 | Artesia Plastic Surgery, Pllc | Surgery | 6044 Main St Ste 106, Williamsville, NY 14221-6883 | 2017-12-04 |
| 1659882843 | Scott E Newman Md PC | Surgery | 1 Odell Plz Ste 277, Yonkers, NY 10701-1402 | 2017-10-16 |
| 1699181354 | Gynecology On Junction, P.C. | Surgery | 4023a Junction Blvd, Second Floor, Corona, NY 11368-2123 | 2014-07-02 |
| 1649683905 | Dr. Fugo Plastic Surgery, P.l.l.c. | Surgery | 92 Old Route 9w, Suite 100, New Windsor, NY 12553-5485 | 2014-06-04 |
| 1356751937 | Philip Lotfi | Surgery | 630 1st Ave Apt 33g, New York, NY 10016-4234 | 2014-05-05 |
| 1801237516 | Marie-eve Pepin | Surgery | 1233 York Ave Apt 20o, New York, NY 10065-6342 | 2013-07-10 |
| 1780941096 | Lauren B Shikowitz-behr | Surgery | 143 N Long Beach Rd Ste 4, Rockville Centre, NY 11570-4438 | 2012-04-12 |
| 1851661235 | Robert M. Freund, M.d., P.C. | Surgery | 170 E End Ave, Suites Cs, New York, NY 10128-7600 | 2012-01-03 |
| 1093004640 | Joseph Andrew Ricci | Surgery | 1776 Eastchester Road, Division of Plastic Surgery, Second Floor, Bronx, NY 10461 | 2011-04-05 |
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| City | WEST ISLIP |
| Zip Code | 11795 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.