Active NPI
Marc Weil Reitman, M.D.
- Child & Adolescent Psychiatry Physician
- Huntington, NY
National Provider Identifier
1245395151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 136500
- Practice address
- 755 New York Ave
Suite 200
Huntington, NY 11743-4240 - Phone
- (631) 427-1597
- Fax
- (631) 424-4041
- NPI assigned
- Dec 22, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 136500 | NY | Primary |
Addresses
Primary practice location
755 New York Ave
Suite 200
Huntington, NY 11743-4240
Mailing address
755 New York Ave
Suite 200
Huntington, NY 11743-4240
Phone (631) 427-1597
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080821000610 | NY | Practitioner - Psychiatry | 3476628603 | Practice locations: Sands Point, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
54 Harbor Acres Rd
Sands Point, NY 11050-2652
Phone (631) 427-1597
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 136500 | NY | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barbara a. Romano, PH.D., Psychologist, P.C. | Past | Accepting new patients |
Interoperability endpoints
- marc.reitman@125258729.chartlogic.direct-ci.com
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.
-
- Clinical Psychologist
- Huntington, NY
- NPI 1588992002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245395151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 NEW YORK AVE",
"address_2": "SUITE 200",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117434240",
"telephone_number": "631-427-1597",
"fax_number": "631-424-4041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 NEW YORK AVE",
"address_2": "SUITE 200",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117434240",
"telephone_number": "631-427-1597",
"fax_number": "631-424-4041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REITMAN",
"first_name": "MARC",
"middle_name": "WEIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "136500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.