MAI EUGENE LANDICHO
NPI 1790373728
Nurse Practitioner - Family in College Point, NY

Active since January 05, 2021PECOS Enrolled
11931 6TH AVE, COLLEGE POINT, NY 11356(908) 462-2904 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mai Eugene Landicho NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAI EUGENE LANDICHO (NPI 1790373728) is an individual family provider in College Point, New York, licensed in New York (F346776) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790373728
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMAI EUGENE LANDICHO
Location Address11931 6TH AVECollege Point, NY 11356-1003
Mailing Address11931 6th AveCollege Point, NY 11356-1003 · (908) 462-2904
Sole ProprietorYes
Enumeration DateJanuary 5, 2021
NPPES CertifiedJanuary 5, 2021
✔ NPI 1790373728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F346776
11931 6TH AVE, College Point, NY 11356

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mai Eugene Landicho is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Mai Eugene Landicho reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1371 SEABURY AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • 1,054 clinicians in this Medicare group
Internal Medicine
2626 HALPERIN AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Bronx Medical Practice PC
  • 1,013 clinicians in this Medicare group
Legal Medicine
2015 GRAND CONCOURSE
Bronx, NY 10453
  • Reassigned Medicare billing, New York enrollment
  • 1,393 clinicians in this Medicare group
Urgent Care
1550 UNIVERSITY AVE
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 683 clinicians in this Medicare group
Nurse Practitioner
1740 BROADWAY
New York, NY 10019
  • Reassigned Medicare billing, New York enrollment
  • 114 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11356 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mai Eugene Landicho's NPI number?

The NPI number for Mai Eugene Landicho is 1790373728. It was assigned to this individual provider in the NPPES registry on January 5, 2021.

Where is Mai Eugene Landicho located?

Mai Eugene Landicho practices at 11931 6th Ave, College Point, NY 11356. The listed phone number is (908) 462-2904.

What is Mai Eugene Landicho's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mai Eugene Landicho enrolled in Medicare?

Yes. Mai Eugene Landicho is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mai Eugene Landicho's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mai Eugene Landicho reassigns Medicare benefits to 5 organizations: House Call Medical Services Of New York, PLLC (Bronx, NY), Bronx Medical Practice P.C. (Bronx, NY), Essen Medical Associates, PC (Bronx, NY), Essen Medical Urgicare, PLLC (Bronx, NY) and Matrix Medical Of New York PC (New York, NY). Each 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 Mai Eugene Landicho's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mai Eugene Landicho was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.