Individual provider Active NPI

Wendy A Griffith-Reece, MD

  • Family Medicine Physician
  • Springfield Gardens, NY
National Provider Identifier
1114032521
Registry record updated Sep 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
163568 Issued in NY
Practice address
14524 230TH St
Springfield Gardens, NY 11413-3927
Phone
(718) 712-6886
Fax
(718) 712-2346
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 163568 NY Primary

Addresses

Primary practice location

14524 230TH St
Springfield Gardens, NY 11413-3927

Mailing address

14524 230TH St
Springfield Gardens, NY 11413-3927
Phone (718) 712-6886

Other identifiers 1

IdentifierTypeStateIssuer
000911151MedicaidNY

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
I20120127000160 NY Practitioner - Family Practice 4981871233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14524 230TH St
Springfield Gardens, NY 11413-3927
Phone (718) 712-6886

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
163568NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Start Family Medical PC CurrentSince Nov 20, 2011 Accepting new patients
TJH Medical Services, P.C. Family Medicine Past Accepting new patients
Eliezer Greenberg DPM PC PastSince Nov 20, 2011 Accepting new patients
Woodhaven Physician PC Past Accepting new patients
Surf Medical PC Past Accepting new patients

Locations

1074 DeKalb Ave
Brooklyn, NY 11221
Phone (718) 452-6013

1228 Broadway
Brooklyn, NY 11221
Phone (718) 307-5627

14524 230th St
Sprngfld Gdns, NY 11413
Phone (718) 712-6886

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: wgriffithreece2031256@nychhc.direct-ci.com
  • Direct secure messaging: newstartfamily@wagm-ny.direct.office.nextgen.com

Organizations & group practices 5

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505088000000",
    "number": "1114032521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14524 230TH ST",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114133927",
            "telephone_number": "718-712-6886",
            "fax_number": "718-712-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14524 230TH ST",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114133927",
            "telephone_number": "718-712-6886",
            "fax_number": "718-712-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH-REECE",
        "first_name": "WENDY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2017-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "163568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000911151",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield Gardens, NY

Sources for this page

Verify at the official NPI Registry.