Individual provider Active NPI

Nicolette J Reese

  • Obstetrics & Gynecology Physician
  • Little Silver, NJ
National Provider Identifier
1104322593
Registry record updated Feb 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA11554100 Issued in NJ
Practice address
34 Sycamore Ave Ste 2a
Little Silver, NJ 07739-1248
Phone
(732) 747-9310
NPI assigned
Apr 4, 2018
Last updated
Feb 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Obstetrics & Gynecology Physician 207V00000X 25MA11554100 NJ Primary

Addresses

Primary practice location

34 Sycamore Ave Ste 2a
Little Silver, NJ 07739-1248

Mailing address

34 Sycamore Ave Ste 2a
Little Silver, NJ 07739-1248
Phone (732) 747-9310

Other practice location 1

506 6th St
Brooklyn, NY 11215-3609
Phone (718) 780-3000

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
I20231218001573 NY Practitioner - Obstetrics/Gynecology 6406205343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayer J Saad MD PCGroup PAC ID 2769629914, 44 clinicians

Practice addresses (Care Compare)

514 Ocean Ave
Massapequa, NY 11758-4605
Phone (516) 799-4500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11554100NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayer J. Saad MD P.C. CurrentSince Oct 1, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai Obstetrics & Gynecology CurrentSince Nov 6, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Nov 6, 2023 Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients

Locations

10933 71st Rd
Ste 2G
Forest Hills, NY 11375
Phone (718) 263-1963

7309 Myrtle Ave
Fl 2
Glendale, NY 11385

8212 151st Ave
Jamaica, NY 11414
Phone (718) 843-6300

2950 Hempstead Tpke
Levittown, NY 11756
Phone (516) 520-3800

158 Hempstead Ave
Lynbrook, NY 11563
Phone (516) 593-3541

514 Ocean Ave
Massapequa, NY 11758
Phone (516) 799-2554

5 E 98th St
Fl 2
New York, NY 10029
Phone (212) 241-6551

372 Post Ave
Ste 106
Westbury, NY 11590
Phone (516) 333-1444

Networks

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

Interoperability endpoints

  • Direct secure messaging: nreese@mjsmpdtwhp-ny.direct.office.nextgen.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676678400000",
    "number": "1104322593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 SYCAMORE AVE STE 2A",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391248",
            "telephone_number": "732-747-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 SYCAMORE AVE STE 2A",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391248",
            "telephone_number": "732-747-9310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 6th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112153609",
            "country_code": "US",
            "telephone_number": "718-780-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REESE",
        "first_name": "NICOLETTE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2023-02-18",
        "certification_date": "2023-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA11554100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Silver, NJ

Sources for this page

Verify at the official NPI Registry.