Active NPI
Nicolette J Reese
- Obstetrics & Gynecology Physician
- Little Silver, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MA11554100
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11554100 | NJ | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayer J. Saad MD P.C. | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Obstetrics & Gynecology | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | 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
- 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.
-
- Specialist
- Westbury, NY
- NPI 1033468509
-
dba OB/GYN Department of Mount Sinai
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1124392212
-
dba New York Eye & Ear Optical Shop
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
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
- Sangmi Ra, DIPL.AC., L.AC
- Cara Raboteau, L.AC., DIPL.AC.
- Joseph Raevis III
- Red Bank Radiologists, PA (same)
- Red Bank Regional High School
- Regional Cancer Care Associates LLC
- Regional Cancer Care Associates LLC
- Regional Women's Health Group, LLC (RWHG Riverview Women's Health)
- Regional Women's Health Group, LLC (RWHG Damien Fertility Partners)
- Retina Consultants Surgery Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2023; 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.