NPIMap

Organization Active NPI

The Reach Project Inc

Doing business as Reach Medical

  • General Practice Physician
  • Ithaca, NY
National Provider Identifier
1124648316
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
THE REACH PROJECT INC
Doing business as
Reach Medical
Practice address
402 N Cayuga St
Ithaca, NY 14850-4291
Phone
(607) 273-7000
Fax
(607) 273-7001
NPI assigned
Apr 17, 2020
Last updated
Apr 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Authorized official

Name
Ms. Justine Waldman, MDNPI 1659471845
Title
Ceo
Phone
(607) 279-8855

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
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

402 N Cayuga St
Ithaca, NY 14850-4291

Mailing address

402 N Cayuga St
Ithaca, NY 14850-4291
Phone (607) 273-7000

Other practice location 1

1001 W Seneca St
Ithaca, NY 14850-3342
Phone (607) 273-7000

Other practice location 2

314 W State St
Ithaca, NY 14850-5432
Phone (607) 273-7000

Other practice location 3

277 Main St
Johnson City, NY 13790-2125
Phone (607) 273-7000

Other names 1

  • REACH MEDICAL Doing business as

National Provider Directory

National Provider Directory

Locations

1001 W Seneca St
Ithaca, NY 14850
Phone (607) 273-7000

402 N Cayuga St
Ithaca, NY 14850
Phone (607) 273-5551

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1124648316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 N CAYUGA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504291",
            "telephone_number": "607-273-7000",
            "fax_number": "607-273-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N CAYUGA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504291",
            "telephone_number": "607-273-7000",
            "fax_number": "607-273-7001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 W Seneca St",
            "address_purpose": "LOCATION",
            "city": "Ithaca",
            "state": "NY",
            "postal_code": "148503342",
            "country_code": "US",
            "telephone_number": "607-273-7000",
            "fax_number": "607-273-7001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "314 W State St",
            "address_purpose": "LOCATION",
            "city": "Ithaca",
            "state": "NY",
            "postal_code": "148505432",
            "country_code": "US",
            "telephone_number": "607-273-7000",
            "fax_number": "607-273-7001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "277 Main St",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "NY",
            "postal_code": "137902125",
            "country_code": "US",
            "telephone_number": "607-273-7000",
            "fax_number": "607-273-7001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE REACH PROJECT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "WALDMAN",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "607-279-8855",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REACH MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.