Individual provider Active NPI

Steven Reichman, DDS

  • Dentist
  • Stony Brook, NY
National Provider Identifier
1043658461
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
038924 Issued in NY
Practice address
97 Main St , Second Floor
At Watersedge Dental
Stony Brook, NY 11790
Phone
(631) 750-0099
Fax
(888) 751-8123
NPI assigned
Jun 7, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 038924 NY Primary

Addresses

Primary practice location

97 Main St , Second Floor
At Watersedge Dental
Stony Brook, NY 11790

Mailing address

97 Main St , Second Floor
At Watersedge Dental
Stony Brook, NY 11790
Phone (631) 750-0099

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
038924NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Steven Reichman DDS PLLC CurrentSince Nov 7, 2025 Accepting new patients

Locations

2500 Nesconset Hwy
Bldg 6A
Stony Brook, NY 11790
Phone (631) 751-6666

97 Main St
Fl Second
Stony Brook, NY 11790
Phone (631) 750-0099

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1043658461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 MAIN ST , SECOND FLOOR",
            "address_2": "AT WATERSEDGE DENTAL",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "11790",
            "telephone_number": "631-750-0099",
            "fax_number": "888-751-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 MAIN ST , SECOND FLOOR",
            "address_2": "AT WATERSEDGE DENTAL",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "11790",
            "telephone_number": "631-750-0099",
            "fax_number": "888-751-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHMAN",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-07",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "038924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.