Individual provider Active NPI

Milton J Reitman, M.D.

  • Pediatric Cardiology Physician
  • Dix Hills, NY
National Provider Identifier
1124007281
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
106520 Issued in NY
Practice address
4 Debbie CT
Dix Hills, NY 11746-5601
Phone
(631) 549-5805
Fax
(631) 549-5805
NPI assigned
Jan 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 106520 NY Primary

Addresses

Primary practice location

4 Debbie CT
Dix Hills, NY 11746-5601

Mailing address

4 Debbie CT
Dix Hills, NY 11746-5601
Phone (631) 549-5805

Other identifiers 1

IdentifierTypeStateIssuer
00186989MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
106520NYMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Cardiology of Li PC Pediatric Cardiology PastSince Jul 1, 2000 Accepting new patients

Organizations & group practices 1

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": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297900800000",
    "number": "1124007281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 DEBBIE CT",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465601",
            "telephone_number": "631-549-5805",
            "fax_number": "631-549-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 DEBBIE CT",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465601",
            "telephone_number": "631-549-5805",
            "fax_number": "631-549-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITMAN",
        "first_name": "MILTON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2011-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NY",
            "license": "106520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00186989",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dix Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.