Individual provider Active NPI

Daniel S Reich, M.D.

  • Gastroenterology Physician
  • Forest Hills, NY
National Provider Identifier
1093765174
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
226732 Issued in NY
Practice address
6960 108TH St
Suite 107
Forest Hills, NY 11375-4323
Phone
(718) 544-0442
Fax
(718) 793-4290
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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 226732 NY Primary

Addresses

Primary practice location

6960 108TH St
Suite 107
Forest Hills, NY 11375-4323

Mailing address

PO Box 298
Suite 107
New Rochelle, NY 10804-0298
Phone (718) 544-0442

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
I20060418000006 NY Practitioner - Gastroenterology 0648289850 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Albert Einstein College of Medicine of Yeshiva University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel S Reich MD Gastroenterology PLLCGroup PAC ID 2668615212, 2 clinicians

Practice addresses (Care Compare)

6960 108TH St
Suite 107
Forest Hills, NY 11375-4302
Phone (718) 544-0442

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy443
Upper gastrointestinal (GI) endoscopy for acid reflux176

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
226732NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Queens Endoscopy ASC, LLC CurrentSince Apr 1, 2014 Accepting new patients
Daniel S Reich MD Gastroenterology PLLC Gastroenterology Current Accepting new patients

Locations

5500 Broadway
Bronx, NY 10463
Phone (347) 577-4950

17660 Union Tpke
Fresh Meadows, NY 11366
Phone (212) 774-2474

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://9557458d-8aa3-4369-887c-e4f71eaf3c45.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 3

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1093765174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 298",
            "address_2": "SUITE 107",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108040298",
            "telephone_number": "718-544-0442",
            "fax_number": "718-793-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6960 108TH ST",
            "address_2": "SUITE 107",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754323",
            "telephone_number": "718-544-0442",
            "fax_number": "718-793-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICH",
        "first_name": "DANIEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "226732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.