Active NPI
Reese A Wain, MD
- Vascular Surgery Physician
- Mineola, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 194340-1
- Practice address
- 120 Mineola Blvd
Suite 300
Mineola, NY 11501-4073 - Phone
- (516) 663-4400
- Fax
- (516) 663-4404
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 194340-1 | NY | Primary |
Addresses
Primary practice location
120 Mineola Blvd
Suite 300
Mineola, NY 11501-4073
Mailing address
120 Mineola Blvd
Suite 300
Mineola, NY 11501-4073
Phone (516) 663-4400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01863969 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
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
- Vascular Surgery
- Education
- Icahn School of Medicine at Mount Sinai, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
250 Patchogue Yaphank Rd
Suite 5
East Patchogue, NY 11772-4862
Phone (631) 654-3330
259 1St St
Mineola, NY 11501-3957
Phone (516) 222-8600
297 Mineola Blvd
Mineola, NY 11501-1502
Phone (516) 294-1377
77 Medford Ave
Patchogue, NY 11772-1281
Phone (631) 758-1910
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 194340-1 | NY | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Montefiore Medical Center | Past | Accepting new patients | |
| Medical Group of Mineola, PC | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000
1300 Franklin Ave
Ste Ul
Garden City, NY 11530
Phone (516) 663-2224
1300 Franklin Ave
Ste ML6
Garden City, NY 11530
Phone (516) 353-1900
1111 Franklin Ave
Garden City, NY 11530
Phone (516) 222-8600
340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064
200 Old Country Rd
Ste 120
Mineola, NY 11501
Phone (516) 633-1220
120 Mineola Blvd
Ste 300
Mineola, NY 11501
Phone (516) 553-4400
120 Mineola Blvd
Ste 600
Mineola, NY 11501
Phone (516) 663-4525
77 Route 112
Patchogue, NY 11772
Phone (631) 207-2370
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
111 Broadway
Fl 2
Trinity, NY 10006
Phone (212) 263-9700
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- rwain230565@nyumc.direct-ci.com
Organizations & group practices 4
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.
-
dba NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
dba Winthrop Psychiatry Group
- Psychiatry Physician
- Mineola, NY
- NPI 1255798096
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba NYU Langone Hospitals - Suffolk
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Patchogue, NY
- NPI 1013724061
Hospital
-
dba NYU Langone Home Health Care
- Home Health Agency
- Mineola, NY
- NPI 1215931811
-
- Rehabilitation Hospital Unit
- New York, NY
- NPI 1275632895
-
dba NYU Langone Hospital Long Island
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
-
- General Acute Care Hospital
- New York, NY
- NPI 1669578324
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
-
dba NYU Langone Hospital - Suffolk
- General Acute Care Hospital
- Patchogue, NY
- NPI 1831910355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1265414791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 MINEOLA BLVD",
"address_2": "SUITE 300",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115014073",
"telephone_number": "516-663-4400",
"fax_number": "516-663-4404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 MINEOLA BLVD",
"address_2": "SUITE 300",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115014073",
"telephone_number": "516-663-4400",
"fax_number": "516-663-4404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAIN",
"first_name": "REESE",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NY",
"license": "194340-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01863969",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 May 11, 2026; 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.