Active NPI
Robert Charles Reiss, DC
- Chiropractor
- Yorktown Heights, NY
National Provider Identifier
1043240518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X004486
- Practice address
- 40 Triangle Center
Suite 215
Yorktown Heights, NY 10598 - Phone
- (914) 962-5413
- Fax
- (914) 962-1186
- NPI assigned
- Jul 3, 2006
- Last updated
- Jan 24, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X004486 | NY | Primary |
Addresses
Primary practice location
40 Triangle Center
Suite 215
Yorktown Heights, NY 10598
Mailing address
40 Triangle Center
Suite 215
Yorktown Heights, NY 10598
Phone (914) 962-5413
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060913000650 | NY | Practitioner - Chiropractic | 1557365053 | Practice locations: Brooklyn, NY; Yorktown Heights, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
40 Triangle Ctr
Suite 215
Yorktown, NY 10598-4100
Phone (914) 962-5413
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X004486 | NY | MD | Chiropractor |
| 004486 | NY | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579824000000",
"number": "1043240518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 TRIANGLE CENTER",
"address_2": "SUITE 215",
"city": "YORKTOWN HEIGHTS",
"state": "NY",
"postal_code": "10598",
"telephone_number": "914-962-5413",
"fax_number": "914-962-1186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 TRIANGLE CENTER",
"address_2": "SUITE 215",
"city": "YORKTOWN HEIGHTS",
"state": "NY",
"postal_code": "10598",
"telephone_number": "914-962-5413",
"fax_number": "914-962-1186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISS",
"first_name": "ROBERT",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2020-01-24",
"certification_date": "2020-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X004486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yorktown Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.