Active NPI
Eric D Reynolds
- Ambulance
- Wyandanch, NY
National Provider Identifier
1134056013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Practice address
- 18 S 22ND St
Wyandanch, NY 11798-3019 - Phone
- (516) 310-3796
- NPI assigned
- May 6, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
18 S 22ND St
Wyandanch, NY 11798-3019
Mailing address
18 S 22ND St
Wyandanch, NY 11798-3019
Phone (516) 310-3796
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1134056013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 S 22ND ST",
"city": "WYANDANCH",
"state": "NY",
"postal_code": "117983019",
"telephone_number": "516-310-3796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 S 22ND ST",
"city": "WYANDANCH",
"state": "NY",
"postal_code": "117983019",
"telephone_number": "516-310-3796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "ERIC",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-06",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyandanch, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.