Active NPI
Elsa J Reyes Medical P.C.
- Primary Care Clinic/Center
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- ELSA J REYES MEDICAL P.C.
- Practice address
- 75 E 116TH St
New York, NY 10029-1150 - Phone
- (212) 828-7000
- Fax
- (212) 828-7800
- NPI assigned
- Nov 9, 2022
- Last updated
- Jan 26, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Elsa Reyes, MD
- Title
- Director
- Phone
- (212) 828-7700
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | Primary |
Addresses
Primary practice location
75 E 116TH St
New York, NY 10029-1150
Mailing address
75 E 116TH St
New York, NY 10029-1150
Phone (212) 828-7700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2298183 | Elsa J Reyes Medical PC | Certificate of waiver | Jan 29, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1184783243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674691200000",
"number": "1205544111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 E 116TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100291150",
"telephone_number": "212-828-7700",
"fax_number": "212-828-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 E 116TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100291150",
"telephone_number": "212-828-7000",
"fax_number": "212-828-7800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELSA J REYES MEDICAL P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-09",
"last_updated": "2023-01-26",
"certification_date": "2023-01-24",
"status": "A",
"authorized_official_last_name": "REYES",
"authorized_official_first_name": "ELSA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "212-828-7700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"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 Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.