NPIMap

Individual provider Active NPI

John A Reyes, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Oyster Bay, NY
National Provider Identifier
1295888709
Registry record updated Sep 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
221361 Issued in NY
Practice address
15A Berry Hill Rd
Oyster Bay, NY 11771-3538
Phone
(516) 671-6900
Fax
(516) 671-6901
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 221361 NY
Geriatric Medicine (Family Medicine) Physician 207QG0300X 221361 NY Primary

Addresses

Primary practice location

15A Berry Hill Rd
Oyster Bay, NY 11771-3538

Mailing address

10 Medical PLZ
Suite 205
Glen Cove, NY 11542-2193
Phone (516) 671-6900

Other identifiers 1

IdentifierTypeStateIssuer
02223669MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL johnareyesmdpc@gmail.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041202000836 NY Practitioner - Internal Medicine 0840256780 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

10 Medical PLZ
Suite 209
Glen Cove, NY 11542-2101
Phone (516) 674-1647

15 A Berry Hill Rd
Oyster Bay, NY 11771-3538
Phone (631) 581-0672

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
15.81 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
52.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
221361NYMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Apr 14, 2014 Accepting new patients
John a Reyes MD PC Internal Medicine CurrentSince Jul 16, 2022 Accepting new patients
Forest Manor Care Center Inc Past Accepting new patients
Glengariff Operating LLC Past Accepting new patients
Montclair Care Center Inc Past Accepting new patients

Locations

4 Medical Plz
Glen Cove, NY 11542
Phone (516) 674-0500

141 Dosoris Ln
Glen Cove, NY 11542
Phone (516) 676-1100

10 Medical Plz
Ste 209
Glen Cove, NY 11542
Phone (516) 609-9017

275 South St
Oyster Bay, NY 11771
Phone (516) 226-1383

300 Community Dr
Plandome, NY 11030

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: johnreyes@nslijmedgr.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Glen Cove Center for Nursing & RehabGlen Cove, NY, CCN 335716 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 1, 2024
Nov 12, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662163200000",
    "number": "1295888709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PLZ",
            "address_2": "SUITE 205",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422193",
            "telephone_number": "516-671-6900",
            "fax_number": "516-671-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15A BERRY HILL RD",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117713538",
            "telephone_number": "516-671-6900",
            "fax_number": "516-671-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2022-09-03",
        "certification_date": "2022-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "221361",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "221361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02223669",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "johnareyesmdpc@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "15A Berry Hill Rd",
            "city": "Oyster Bay",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117713538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oyster Bay, NY

Sources for this page

Verify at the official NPI Registry.