Active NPI
Joel Reiter, MD
- Diagnostic Radiology Physician
- East Islip, NY
National Provider Identifier
1013933746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 146478
- Practice address
- 369 E Main St
Suite 18
East Islip, NY 11730-2800 - Phone
- (631) 277-1600
- Fax
- (631) 277-1638
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 146478 | NY | Primary |
Addresses
Primary practice location
369 E Main St
Suite 18
East Islip, NY 11730-2800
Mailing address
369 E Main St
Suite 18
East Islip, NY 11730-2800
Phone (631) 277-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00964190 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146478 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park West Radiology, PC | Diagnostic Radiology | Past | Accepting new patients |
| Advanced Radiological Imaging-Astoria PC | Diagnostic Radiology | Past | Accepting new patients |
| Islandia MRI Associates PC | Past | Accepting new patients | |
| Mid-Island Medical Imaging, P.C. | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Astoria, NY
- NPI 1366490104
-
- Specialist
- Islandia, NY
- NPI 1265459846
-
- Diagnostic Radiology Physician
- Medford, NY
- NPI 1396857843
-
- Diagnostic Ultrasound Physician
- New York, NY
- NPI 1003855404
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255478400000",
"number": "1013933746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "369 E MAIN ST",
"address_2": "SUITE 18",
"city": "EAST ISLIP",
"state": "NY",
"postal_code": "117302800",
"telephone_number": "631-277-1600",
"fax_number": "631-277-1638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "369 E MAIN ST",
"address_2": "SUITE 18",
"city": "EAST ISLIP",
"state": "NY",
"postal_code": "117302800",
"telephone_number": "631-277-1600",
"fax_number": "631-277-1638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REITER",
"first_name": "JOEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2009-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "146478",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00964190",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.