NEW YORK IMMUNOLOGY PC
NPI 1720040629
Specialist in Flushing, NY
About New York Immunology Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEW YORK IMMUNOLOGY PC (NPI 1720040629) is a healthcare organization registered as a specialist in Flushing, New York and active in the NPI registry since April 2006. The organization lists Michael Landor, Director Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
New York Immunology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to New York Immunology PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is New York Immunology PC's NPI number?
The NPI number for New York Immunology PC is 1720040629. It was assigned to this organization in the NPPES registry on April 5, 2006.
Where is New York Immunology PC located?
New York Immunology PC is located at 6920 Main St, Flushing, NY 11367. The listed phone number is (718) 793-9020.
What is New York Immunology PC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is New York Immunology PC enrolled in Medicare?
Yes. New York Immunology PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through New York Immunology PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Allergy/Immunology) reassigns their Medicare billing to New York Immunology PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for New York Immunology PC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# New York Immunology Pc · NPI 1720040629
Specialist organization in Flushing, New York. Organization record, active in the CMS NPPES registry since April 5, 2006.
## Identity
- **NPI:** 1720040629 (Entity type: Organization)
- **Enumerated:** April 5, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Michael Landor, DIRECTOR OFFICER
## Practice location
- **Address:** 6920 MAIN ST, Flushing, NY 11367-1703
- **Phone:** (718) 793-9020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Allergy/Immunology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 11, 2025
- **Other identifiers:** Medicaid 01694724 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1720040629) · Data from the CMS NPPES public registry.