Individual provider Active NPI

Jonathan Max Rieber, MD

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1023093721
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
203024 Issued in NY
Practice address
5030 Broadway
Suite 707
New York, NY 10034
Phone
(718) 412-3445
Fax
(212) 567-8480
NPI assigned
Dec 14, 2005
Last updated
Jun 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 203024 NY Primary

Addresses

Primary practice location

5030 Broadway
Suite 707
New York, NY 10034

Mailing address

15 Meadow Road
Scarsdale, NY 10583
Phone (718) 412-3445

Other identifiers 1

IdentifierTypeStateIssuer
02250420MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031114000509 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 1759295637 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
New York Medical College, 1994
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Perry Ave Family Medical Center IncGroup PAC ID 0547365363, 28 clinicians
Gastrointestinal Care of Long Island PLLCGroup PAC ID 7517042211, 175 clinicians

Practice addresses (Care Compare)

3071 Perry Ave
Bronx, NY 10467-4111
Phone (718) 231-6700

5030 Broadway
Suite 707
New York, NY 10034-1618
Phone (718) 412-3445

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy20
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
203024NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jose L. Lantin, MD, PC Gastroenterology CurrentSince Mar 30, 2019 Accepting new patients
Gastrointestinal Care of Long Island PLLC Gastroenterology CurrentSince Jan 12, 2024 Accepting new patients
Perry Ave Family Medical Center Inc CurrentSince Nov 1, 2022 Accepting new patients
Hemant Patel MD PC CurrentSince Feb 1, 2019 Accepting new patients
Nyc Medical of Queens PC PastSince Mar 9, 2020 Accepting new patients
Advanced Endoscopy Center LLC PastSince Apr 1, 2025 Accepting new patients
Gastroenterology of Westchester, LLC Past Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

1375 Washington Ave
Ste 101
Albany, NY 12206
Phone (518) 438-4483

3071 Perry Ave
Bronx, NY 10467
Phone (718) 231-6700

3765 Riverdale Ave
Ste 7
Bronx, NY 10463
Phone (718) 543-3636

7916 37th Ave
Jackson Heights, NY 11372
Phone (212) 927-0013

187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523

187 Veterans Blvd
#13202
Massapequa, NY 11758
Phone (516) 795-5523

5030 Broadway
New York, NY 10034
Phone (212) 567-9800

5030 Broadway
Ste 707
New York, NY 10034
Phone (718) 412-3445

136 Sagamore Rd
Tuckahoe, NY 10707
Phone (914) 337-6400

4902 Queens Blvd
Ste B1
Woodside, NY 11377
Phone (919) 349-6650

102 Park Ave
Ste 2
Yonkers, NY 10703
Phone (914) 391-1274

1086 N Broadway
Ste 50
Yonkers, NY 10701
Phone (914) 375-2751

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/CAEACD
  • Direct secure messaging: jonathan.rieber.1@24721.direct.athenahealth.com
  • Direct secure messaging: jor9024@direct.nyp.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402012800000",
    "number": "1023093721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MEADOW ROAD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "10583",
            "telephone_number": "718-412-3445",
            "fax_number": "212-567-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 BROADWAY",
            "address_2": "SUITE 707",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10034",
            "telephone_number": "718-412-3445",
            "fax_number": "212-567-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEBER",
        "first_name": "JONATHAN",
        "middle_name": "MAX",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2014-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "203024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02250420",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.