Organization Active NPI

Dr Rebman BH LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • New York, NY
National Provider Identifier
1114894540
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
Legal business name
DR REBMAN BH LLC
Practice address
885 3Rd Ave FL 28
New York, NY 10022-4834
Phone
(929) 650-3990
NPI assigned
Oct 21, 2025
Last updated
Apr 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Authorized official

Name
Glen RebmanNPI 1487181558
Title
Owner
Phone
(929) 650-3990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X Primary

Addresses

Primary practice location

885 3Rd Ave FL 28
New York, NY 10022-4834

Mailing address

885 3Rd Ave FL 28
New York, NY 10022-4834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IN, WV, MD, DC, DE, PA, NM, IL, WA, TN, VA, NC, NH, ME, CT, RI, VT, NJ, AL, MO, SD, OH, NY24 enrollments

Enrollment records 24

Enrollment IDStateProvider typePAC IDDetails
O20251208003375 FL Part B Supplier - Clinic/Group Practice 6406340421 Receives reassigned benefits from 95 practitioners
Practice locations: Miami, FL
O20260130000667 IN Part B Supplier - Clinic/Group Practice 6406340421 Receives reassigned benefits from 22 practitioners
Practice locations: Indianapolis, IN
O20260201000141 WV Part B Supplier - Clinic/Group Practice 6406340421 Receives reassigned benefits from 49 practitioners
Practice locations: Hurricane, WV
O20260203000840 MD Part B Supplier - Clinic/Group Practice 6406340421 Receives reassigned benefits from 34 practitioners
Practice locations: Baltimore, MD
O20260203002669 DC Part B Supplier - Clinic/Group Practice 6406340421 Receives reassigned benefits from 4 practitioners
Practice locations: Lanham, MD
O20260203002713 DE Part B Supplier - Clinic/Group Practice 6406340421 Receives reassigned benefits from 28 practitioners
Practice locations: Seaford, DE
O20260203002776 PA Part B Supplier - Clinic/Group Practice 6406340421 Receives reassigned benefits from 72 practitioners
Practice locations: Lancaster, PA
O20260203002841 NM Part B Supplier - Clinic/Group Practice 6406340421 Receives reassigned benefits from 15 practitioners
Practice locations: Albuquerque, NM
O20260203003091 IL Part B Supplier - Clinic/Group Practice 6406340421 Receives reassigned benefits from 28 practitioners
Practice locations: Schaumburg, IL
O20260203003552 WA Part B Supplier - Clinic/Group Practice 6406340421 Receives reassigned benefits from 15 practitioners
Practice locations: Moses Lake, WA
O20260206000194 TN Part B Supplier - Clinic/Group Practice 6406340421 Receives reassigned benefits from 16 practitioners
Practice locations: La Follette, TN
O20260207000773 VA Part B Supplier - Clinic/Group Practice 6406340421 Receives reassigned benefits from 33 practitioners
Practice locations: Fredericksburg, VA
O20260213000987 NC Part B Supplier - Clinic/Group Practice 6406340421 Receives reassigned benefits from 31 practitioners
Practice locations: Mount Olive, NC
O20260220001799 NH Part B Supplier - Clinic/Group Practice 6406340421 Receives reassigned benefits from 48 practitioners
Practice locations: Concord, NH
O20260306001593 ME Part B Supplier - Clinic/Group Practice 6406340421 Receives reassigned benefits from 45 practitioners
Practice locations: Westbrook, ME
O20260306001789 CT Part B Supplier - Clinic/Group Practice 6406340421 Receives reassigned benefits from 29 practitioners
Practice locations: Stamford, CT
O20260306002072 RI Part B Supplier - Clinic/Group Practice 6406340421 Receives reassigned benefits from 25 practitioners
Practice locations: Cumberland, RI
O20260306002493 VT Part B Supplier - Clinic/Group Practice 6406340421 Receives reassigned benefits from 28 practitioners
Practice locations: Saint Albans, VT
O20260313002144 NJ Part B Supplier - Clinic/Group Practice 6406340421 Receives reassigned benefits from 55 practitioners
Practice locations: Secaucus, NJ
O20260313002443 AL Part B Supplier - Clinic/Group Practice 6406340421 Receives reassigned benefits from 24 practitioners
Practice locations: Tuscumbia, AL
O20260402001001 MO Part B Supplier - Clinic/Group Practice 6406340421 Receives reassigned benefits from 13 practitioners
Practice locations: Jefferson City, MO
O20260406002248 SD Part B Supplier - Clinic/Group Practice 6406340421 Receives reassigned benefits from 9 practitioners
Practice locations: Mitchell, SD
O20260420000118 OH Part B Supplier - Clinic/Group Practice 6406340421 Receives reassigned benefits from 38 practitioners
Practice locations: Kettering, OH
O20260508000981 NY Part B Supplier - Clinic/Group Practice 6406340421 Receives reassigned benefits from 23 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

500 John Aldridge Dr
Tuscumbia, AL 35674
Phone (256) 373-4541

103 Hospital Loop NE
Albuquerque, NM 87109
Phone (505) 348-8300

Practitioners & affiliated clinicians

Practitioners 147

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 147

NPI Registry JSON

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1114894540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 3RD AVE FL 28",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 3RD AVE FL 28",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224834",
            "telephone_number": "929-650-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR REBMAN BH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-21",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "REBMAN",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-650-3990"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.