Active NPI
Megan Reisert, RPA-C
- Physician Assistant
- Mineola, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 014942-1
- Practice address
- 259 1St St
Mineola, NY 11501-3957 - Phone
- (516) 663-0333
- NPI assigned
- Aug 22, 2011
- Last updated
- Jun 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 014942-1 | NY | Primary |
| Medical Physician Assistant | 363AM0700X | 014942-1 | NY | |
| Surgical Physician Assistant | 363AS0400X | 014942-1 | NY |
Addresses
Primary practice location
259 1St St
Mineola, NY 11501-3957
Mailing address
125 Lincoln Ave
Apartment B3F
Mineola, NY 11501-2824
Phone (978) 621-4445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014942-1 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Mount Sinai School of Medicine | Current | Accepting new patients | |
| Mount Sinai School of Medicine | Current | Accepting new patients | |
| Mount Kisco Medical Group | Past | Accepting new patients |
Locations
2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
259 1st St
Mineola, NY 11501
Phone (516) 576-1820
90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050
1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581
196 Merrick Rd
Oceanside, NY 11572
Phone (516) 255-1616
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- megan.reisert@4018.securemail.prognocis.com
- mreisert169354@direct.optum.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CareMount Medical, P.C.
- Cardiovascular Disease Physician
- Mount Kisco, NY
- NPI 1982643003
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
dba Mount Sinai Marathon Medical
- Internal Medicine Physician
- Oceanside, NY
- NPI 1508127531
-
- Psychiatry Physician
- Hempstead, NY
- NPI 1508333956
-
- Radiation Oncology Physician
- Oceanside, NY
- NPI 1720555964
-
- Durable Medical Equipment & Medical Supplies
- New Hyde Park, NY
- NPI 1053190595
-
- Hematology (Internal Medicine) Physician
- Fishkill, NY
- NPI 1952356362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433203200000",
"number": "1194005272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 LINCOLN AVE",
"address_2": "APARTMENT B3F",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115012824",
"telephone_number": "978-621-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 1ST ST",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115013957",
"telephone_number": "516-663-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISERT",
"first_name": "MEGAN",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-22",
"last_updated": "2015-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "014942-1",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "014942-1",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "014942-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.