Active NPI
Wesley Beth Reiss, D.O.
- Neuromusculoskeletal Medicine & OMM Physician
- Huntington, NY
National Provider Identifier
1063513018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 159835
- Practice address
- 14 W Neck Rd
Huntington, NY 11743-2619 - Phone
- (631) 425-6180
- NPI assigned
- Sep 25, 2006
- Last updated
- Jun 5, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 159835 | NY | Primary |
Addresses
Primary practice location
14 W Neck Rd
Huntington, NY 11743-2619
Mailing address
191 N Oak St
N Massapequa, NY 11758-3046
Phone (631) 425-6180
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 266380883 | Other | NY | CIGNA |
| 0082445 | Other | NY | GHI |
| N11973 | Other | NY | HEALTHNET |
| NYM159835 | Other | NY | CARE MANAGEMENT GROUP NY |
| 49430 | Other | NY | VYTRA |
| 0727234 | Other | NY | AETNA |
| P951291 | Other | NY | OXFORD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14 W Neck Rd
Huntington, NY 11743-2619
Phone (631) 425-6180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Huntington, NY
- NPI 1740558329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212624000000",
"number": "1063513018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 N OAK ST",
"city": "N MASSAPEQUA",
"state": "NY",
"postal_code": "117583046",
"telephone_number": "631-425-6180",
"fax_number": "516-797-7370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 W NECK RD",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432619",
"telephone_number": "631-425-6180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISS",
"first_name": "WESLEY",
"middle_name": "BETH",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2008-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "NY",
"license": "159835",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "266380883",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0082445",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "N11973",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE MANAGEMENT GROUP NY",
"identifier": "NYM159835",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "49430",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0727234",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P951291",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.