Anetta Elzbieta Reszko, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

245396 Issued in NY

Practice address

135 E 71St St # 1a
New York, NY 10021-4383

Phone

(646) 962-3376

NPI assigned

Jun 3, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 15, 2017 through Jun 15, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Ar Dermatology PC

  • Dermatology Physician
  • New York, NY
  • NPI 1710710900
  NPD (past)

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1114186400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E 71ST ST # 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214383",
            "telephone_number": "646-962-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E 71ST ST # 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214383",
            "telephone_number": "646-962-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1112 Park Ave # 1A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101281235",
            "country_code": "US",
            "telephone_number": "646-759-8449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RESZKO",
        "first_name": "ANETTA",
        "middle_name": "ELZBIETA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "245396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Lynn Restuccia, R.D.
• Musa Resuljani, LMSW
• Carlos Resurreccion, CARN
• Gracielle Gonzales Resurreccion
• Lynda Resurreccion, DPT
• Dana Jill Reszutek, LCSW
• Roxanne Ayesha Retalis
• Julio Cesar Retamar
• Angela Retano, RN, MA,MSN, PMHNP-BC
• Sarah Retchin, LCSW

• Dermatology Physician in New York, NY
• Providers in New York, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.