SOUTH SHORE PLASTIC & RECONSTRUCTIVE SURGERY – NPI #1184171514
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

Health Care Provider Taxonomy Code for Surgery

SOUTH SHORE PLASTIC & RECONSTRUCTIVE SURGERY is a surgeon located in BABYLON, NY. NPPES has assigned the NPI number 1184171514 to SOUTH SHORE PLASTIC & RECONSTRUCTIVE SURGERY on September 01, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTH SHORE PLASTIC & RECONSTRUCTIVE SURGERY” is a dba name, the actual legal business name for this organization is JONATHAN V. LANDON MD P.C.. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 3 years ago on Nov 20, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTH SHORE PLASTIC & RECONSTRUCTIVE SURGERY below.

NPI Profile for
JONATHAN V. LANDON MD P.C.

NPI Number
1184171514
Enumeration Date

(about 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JONATHAN V. LANDON MD P.C.
Doing Business As (dba): SOUTH SHORE PLASTIC & RECONSTRUCTIVE SURGERY
Primary location
98 PARK AVE
BABYLON, NY 11702-1709
Phone: (631) 482-1840 Fax: (631) 482-1841
Mailing address
786 MONTAUK HWY
WEST ISLIP, NY 11795-4926
Phone: (631) 669-3700 Fax:
Organization Subpart
No
Authorized Official
JONATHAN LANDON
OWNER/PRESIDENT
Phone: (631) 482-1840
Updated
Certification Date
Nov 20, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)		 NY 255681-1

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.