Active NPI
Wayne Reizner
- Surgery of the Hand (Surgery) Physician
- Port Jefferson, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Surgery) Physician
- License
- 384345
- Practice address
- 635 Belle Terre Rd Ste 204
Port Jefferson, NY 11777-1977 - Phone
- (316) 474-0008
- NPI assigned
- Apr 6, 2014
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 284345 | NY | |
| Surgery of the Hand (Surgery) Physician | 2086S0105X | 384345 | NY | Primary |
Addresses
Primary practice location
635 Belle Terre Rd Ste 204
Port Jefferson, NY 11777-1977
Mailing address
1101 Stewart Ave
Garden City, NY 11530-4892
Phone (516) 536-2800
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
Care Compare profile
Medicare Care Compare- Specialty
- Hand Surgery
- Education
- University of Rochester School of Medicine and Dentistry, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
635 Belle Terre Rd
Suite 204
Port Jefferson, NY 11777-1977
Phone (631) 474-0008
Hospital & facility affiliations
- North Shore University Hospital
- John T Mather Memorial Hospital of Port Jefferson
- Plainview Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 34 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 284345 | NY | MD | Orthopaedic Surgery Physician |
| 384345 | NY | MD | Surgery of the Hand (Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True North Medical Group PC | Orthopaedic Surgery | Current | Accepting new patients |
| True North Medical Group PC | Orthopaedic Surgery | Current | Accepting new patients |
| True North Medical Group PC | Past | Accepting new patients |
Locations
1101 Stewart Ave
Garden City, NY 11530
Phone (516) 794-2835
775 Park Ave
Ste 380
Huntington, NY 11743
Phone (516) 914-6043
1800 Walt Whitman Rd
Ste 120
Melville, NY 11747
Phone (631) 267-5130
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
635 Belle Terre Rd
Ste 204
Prt Jefferson, NY 11777
Phone (631) 474-0008
788 Harrison Ave
Riverhead, NY 11901
Phone (631) 591-3801
36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570
222 E Middle Country Rd
Ste 108
Smithtown, NY 11787
Phone (631) 706-2800
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- waynereizner@nslijmedgr.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Merrick, NY
- NPI 1659883486
-
- Oxygen Equipment & Supplies (DME)
- Tarrytown, NY
- NPI 1669272886
Orthopaedic Surgery
-
- Cardiovascular Disease Physician
- Bayside, NY
- NPI 1669762258
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1093718728
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- General Acute Care Hospital
- Plainview, NY
- NPI 1083621130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1245658293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 STEWART AVE",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115304892",
"telephone_number": "516-536-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 BELLE TERRE RD STE 204",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117771977",
"telephone_number": "316-474-0008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIZNER",
"first_name": "WAYNE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-06",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "284345",
"primary": false
},
{
"code": "2086S0105X",
"taxonomy_group": "",
"desc": "Surgery, Surgery of the Hand",
"state": "NY",
"license": "384345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.